Helping Animals Rescue Team
Follow us on Facebook for the latest news!
Home
Adoption Application
Foster Application
Barn Cat Program
Petfinder Page
Rescue Blog
Wish lists
Contact us
Helping Animals Rescue Team Adoption Application
Being a caretaker to an animal is a big responsibility. Therefore, HART wants to ensure the adoptable pets in our care are provided the emotional and physical care necessary for the length of the pet's life. To ensure that the animals we are trying to adopt are given the beset possible homes, we ask that you complete this application and expect to spend time discussing the completed application with one of our adoption counselors. It should be made clear that HART reserves the right to deny the adoption of any animal, for any reason, and all applicants must be at least 21 years of age. Completion and submission of this application in no way guarantees receipt of animal applied for. A separate adoption agreement/contract will be signed at the time of adoption.
Name
*
Name and/or description of animal you are interested in adopting
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
Phone
*
###
-
###
-
####
Email
Do you...
*
Own your home
rent a house/apartment
If you rent, provide your landlord's name and telephone number.
How many adults in your household?
*
How many children in your household? Please provide ages also. (If none please enter "none"
*
Please describe all animals currently in household.
*
Are all current pets currently spayed or neutered?
*
Yes
No
Not applicable
Please describe all pets owned in the last 5 years that you no longer have. Include the reason why you no longer have them.
*
Who Will be the primary caretaker for the animal?
*
Veterinarian name and phone number:
*
Describe where the animal will be kept during the day
*
If outside, please describe shelter and any fencing
Provide 2 (TWO) personal references not related to you and include contact information
*
Describe your reason for wanting to adopt a pet
*
Describe any circumstances under which you would get rid of the pet you are interested in adopting
*
Describe what you feel is appropriate discipline for your pet
*
Powered by
EMF
HTML Form Builder
Report Abuse
✕