If you want to adopt a DOG and have adopted from Pet Harbor Rescue before, you have come to the right place!
Please note: If you submit an application & don't hear from us within 48 hours, please
write
webmaster@petharbor.org.
Congratulations for having the desire to adopt a homeless pet. This is our application, not a contract to
adopt. As you undoubtedly endured the last time and as noted on the
Adoption Process page, this is the first step in the process. A successful adoption depends on finding the perfect pet for you & the perfect permanent home for the pet. So please be as complete & honest as possible. When finished, submit the form online, mail, or fax.
NOTE!
(1) WE RESERVE THE RIGHT TO VISIT THE HOME WHERE THE DOG WILL LIVE PRIOR TO ADOPTION
(2) WE RESERVE THE RIGHT TO APPROVE OR DENY ANY ADOPTION FOR ANY REASON AND THE RIGHT TO NOT DISCLOSE THE REASON
(3) YOU MUST BE AT LEAST 18 TO APPLY
(4) ALL HUMAN AND CANINE MEMBERS RESIDING IN THE HOME MUST MEET THE DOG PRIOR TO ADOPTION AND
(5) ALTHOUGH WE DO NOT DEFINE A GEOGRAPHIC TERRITORY, WE GIVE PREFERENCE TO LOCAL ADOPTERS. ALSO, ALL ADOPTERS HAVE TO COME TO US (USUALLY THE FREDERICKSBURG, VA AREA) TO MEET/ADOPT THE DOG. THAT INCLUDES ALL HUMANS & CANINES RESIDING IN THE HOUSE.
Do you understand and agree to the above notice?
Yes
No
When answer choices are offered, please check all that apply. Please be as specific as you can.
Basics:
1. Has anyone in your house ever been convicted of an animal-related charge?
Yes
No
2. What date are you prepared to take a dog home? Please do not apply until up to a week prior to this date.
Since these sections may have updated since you've been here before, before you answer the following questions, please familiarize yourself with our adoption procedures and our contract requirements.
3. Do you understand donations
are tax-deductible and are not refundable?
Yes
No
4. What is a method of payment for the donation that Pet Harbor will not accept?
5. What is the minimum donation amount required to adopt the particular dog you want to adopt?
6. How long are you required to keep in touch with us and keep your contact information current with us?
7. Do you object to volunteers investigating and/or inquiring concerning the dog's circumstances after adoption?
Yes
No
Required Questions:
What pet did you adopt from us?
Your first and last name
If anyone in the house has an occupation that involves animals in any way, what is it?
E-mail
What is the first name of person who will be this dog's primary caregiver?
Age of primary caregiver if under 18?
Is everyone in the household aware of and agreeable to your adopting this dog?
Yes
No
Veterinarian
If you have no current veterinarian, please list your most recent vet, no matter where located or how long ago.
Name
Phone
About the Dog You Want to Adopt:
If there is a particular dog you are interested in, what is that dog’s name? Applying for a particular dog doesn't mean you will be approved for that dog. We will work with you to try to make the right match. Another dog might be better suited for you. If you are not specifically interested in a particular dog, please write "N/A."
What about this particular dog sparks your interest?
Are you interested only in that dog, even if you would be approved for only a different dog?
Yes
No
Must the dog be purebred?
Yes
No
If you have a gender preference, please explain why.
Youngest acceptable age?
Oldest acceptable age?
If you have an age preference, please explain why.
What eye color is acceptable to you?
Any
Blue
Brown
Bi-eyed
Parti-Eyed (blue & brown in same eye)
Other
What coat colors are acceptable to you?
Any
Black & White
Grey & White
Red & White
Solid White
Other
What plans do you have for this dog?
Companion Pet
Obedience
Agility
Exercise
Hiking
Mushing
Water Sports
Other
Please explain how important it is to you that the dog already have the following traits before he/she first gets to your house.
1. Housebroken
Doesn't matter
I can train him to do this.
I prefer he already be.
Absolutely must already be!
2. Crate-trained
Doesn't matter
I can train him to do this.
I prefer he already be.
Absolutely must already be!
3. Nondestructive so I can leave him running free in my house when I am not home
Doesn't matter
I can train him to do this.
I prefer he already be.
Absolutely must already be!
4. Be good with babies
Doesn't matter
I can train him to do this.
I prefer he already be.
Absolutely must already be!
5. If the dog escapes, he will come to me when I call him/her.
Doesn't matter
I can train him to do this.
I prefer he already will.
Absolutely must already do!
6. Won’t pull when walked on a leash
Doesn't matter
I can train him to do this.
I prefer he already won't.
Absolutely must already!
7. Knows basic commands
Doesn't matter
I can train him to do this.
I prefer he already does.
Absolutely must already!
8. Won’t jump up on people
Doesn't matter
I can train him to do this.
I prefer he already won't.
Absolutely must already!
9. Quiet dog when humans are not home
Doesn't matter
I can train him to do this.
I prefer he already is.
Absolutely must already be!
10. Won’t dig
Doesn't matter
I can train him to do this.
I prefer he already won't.
Absolutely must already!
11. Rides well uncrated in the car
Doesn't matter
I can train him to do this.
I prefer he already can.
Absolutely must already!
12. Can safely take dog to dog parks
Doesn't matter
I prefer he already can.
Absolute must!
13. Has no medical issues
Doesn't matter
Preferred
Absolute must!
What will you do if after adoption, this dog does not get along with your current pets? If you have cats, what will you do if the dog tries to harm the cats? What if there are fights with your current dogs & this dog?
Have you considered any health problems or risks to which you may be exposing your current pets?
Yes
No
The word "you" in the next 3 questions applies to all adults residing in the house.
Has anyone in your household EVER released a pet to an animal shelter?
Yes
No
Has anyone in your household EVER given away a pet?
Yes
No
Has anyone in your household EVER sold a pet?
Yes
No
If yes to any of the last 3 questions, what were the circumstances?
If your address has changed, what is your address?
If any of your phone numbers (home, work, cell) have changed, what are the new ones?
If who lives in the house has changed since you adopted, please describe. For instance, is there now a baby or has the family size decreased, etc.?
Is anyone new to the household allergic to any animals?
Yes
No
Unsure
If you answered "Yes" or "Unsure," how will you avoid allergic reactions?
If you have a property owners' association you did not have when you adopted from us, what are the restrictions it has regarding (a) pets and (b) fences?
If anyone new to the household is in the armed forces, what are your specific plans for your pet if that person is deployed?
If you have moved since adopting, do you have a fully fenced-in yard?
Yes
No
If yes, what is your fence height at its lowest point?
If you have no fence, do you plan to fence in the yard?
Yes
No
Undecided
What type of fence do you have?
What type of flooring?
In acres or portion of an acre, how big is the fenced area?
Will you use an indoor dog crate?
Yes
No
Do you have future plans to move?
Yes
No
If yes, how soon?
If you have moved since adopting, do you:
Own
Rent
Live with family
Other
If you have a new one since adopting, what is yoru landlord's name?
and phone number:
If there are any pets in the household now who were not a part of the household when you adopted or if there are less pets, please describe.
How many hours will this dog be alone (without humans) during the day?
Will your dog be tied outside?
Yes
No
Where will the dog be when you are not at home?
Where will the dog sleep?
Comments:
Please let us know any other information you wish us to consider in placing a pet with you. Here is your chance to personalize this application.
Your interest is deeply appreciated because every dog or cat we can place is one less that is homeless, hungry, abused, or killed.
By indicating yes and submitting this form, I signify that all information given in this application is true and correct, to the best of my/our knowledge. And by indicating yes and submitting this form, I hereby further grant consent to Pet Harbor and its volunteers to seek information about me from all named and unnamed sources within this application, including but not limited to veterinarian, rental agent, personal references, to assist in the application process.
Yes
No
PET HARBOR WOULD LIKE TO THANK YOU FOR TAKING
THE TIME TO COMPLETE THIS APPLICATION.
