HOPE Adoption Contract

Full Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

E-mail Address

Drivers License Number

State of Issue

Occupation

Name of Employer:

Work/School Schedule: *

How many people live in your household? *

Please list the number of children in your household and their ages

Is everyone in the household in favor of adopting a pet *

Yes No

Which pet are you interested in?

Do you live in a...: *

House Apartment Duplex Mobile Home Other

Do you Rent or Own

Rent Own

If you rent, do you have permission to have an animal at your residence?

Yes No

Please provide landlords name and phone number

List the breed, age and sex of all dogs in the household *

How long have you owned each dog?

Are all dogs spayed or neutered? *

Yes No

If no, please explain why not.

How many cats are in your household?

How long have you owned each cat?

Are all cats spayed or neutered? *

Yes No

If no, please explain why not.

Where will the pets spend most of the time? *

Inside Outside

Do you have a fenced yard? *

Yes No

If so, what kind of fence?

What kind of shelter will the pets have when outside? *

What arrangements will be made for the pet when the family is out of town? *

If you have had pets in the past, but no longer have them, briefly share how long you had them and what happened to them.

Briefly explain why you want to adopt this pet. *

What would constitute a reason for giving up this pet? *

How do you or have you protected your pets from heart worms? *

Are all your pets current on their vaccinations? *

Yes No

If no, why not?

If this pet becomes ill or is injured, do you have the means to cover medical costs? *

Yes No

Would you object to a home visit by shelter staff prior to the adoption? *

Yes No

Would you object to a home visit by shelter staff after the adoption? *

Yes No

Veterinarians Name:

First Name Last Name

Veterinarians Phone Number

Area Code Phone Number

Veterinarians Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

I agree that by completing this application and providing a veterinary reference, you are giving HOPE express authorization to contact and confirm veterinary care of your current and past animals.

Type Initials

Personal Reference #1

First Name Last Name

Personal Ref #1 Phone Number

Area Code Phone Number

Personal Reference #2

First Name Last Name

Personal Ref #2 Phone Number

Area Code Phone Number

The animals available for adoption come to us in a variety of ways. All animals are examined and their health monitored while they are in our care. However, due to stressful situations under which many animals come to us, there is always the chance that an animal is incubating a disease without showing clinical signs. Therefore, we strongly recommend that you schedule a visit with your veterinarian within three days of the adoption date. HOPE believes this animal(s) to be in good health, but does not guarantee the health of any animal or assume financial responsibility for future veterinary costs. I understand and agree to the above statement.

Type Initials

Anyone who intentionally misleads or fails to provide accurate information on the Adoption Application Form will be denied all adoption rights

Type Initials

I understand that if this pet has not already been spayed or neutered, that I must make arrangements to have this pet spayed or neutered in accordance with State law at four (4) months of age.

Type Initials

I understand that due to the cost involved in veterinary care, feeding, sheltering and training of this pet, that there will be no refund for pets that are returned. Please, if you think, for any reason, that you cannot commit unconditionally to this pet for the rest of its life, do not proceed with the adoption process.

Type Initials

I understand that if for any reason I cannot keep the pet I adopt, I agree and promise to return him/her to HOPE. I understand that I must arrange a date and time with the adoption coordinator for the return of the animal and that it may take 1-5 days to get the adopted pet back into the program. I further understand that it is mandatory for the adopted pet to be returned if I cannot keep it.

Type Initials

I further agree to take my newly adopted pet to a veterinarian within 3 days of adoption for a health check. I promise to take my pet to a veterinarian for the required and recommended annual vaccinations, including boosters for puppies and kittens. I promise to keep my adopted pet on heartworm preventative and flea control for the remainder of its life as recommended by my veterinarian. If my pet becomes ill or injured, I promise to get immediate veterinary care and I am prepared financially to take on this responsibility.

Type Initials

I promise to provide my pet with proper, nutritious food, fresh, clean water, adequate shelter and kind treatment at all times; and will meet all necessary requirements so that this adopted pet can live a happy, healthy and safe life for the rest of its life with you.

Type Initials

I promise not to sell, trade, and loan or give away this adopted pet and will never allow him/her to be used for any purpose that would cause harm or injury to him/her.

Type Initials

I agree that this pet’s welfare is the most important factor and if any representative of HOPE finds unsuitable living conditions or any violations of this agreement or contract, HOPE reserves the right to terminate this contract without notice and take immediate possession of the adopted pet. I understand and will pay reasonable attorney’s fees in the event that an attorney is consulted or suit is brought for the return of the adopted pet.

Type Initials

If your application is accepted, please bring a picture ID and proof of residence with you.

Type Initials

There is no guarantee made, express or implied, that any person requesting to adopt a pet through HOPE will automatically be approved. All adoptions are subject to acceptance base on a review process that requires collecting information from references and visiting the applicant’s home. HOPE reserves the right to refuse to adopt to anyone without disclosing the reasons. Furthermore, if the adopted pet is returned to HOPE the forfeiture is subject to a possible surrender fee.

Type Initials

Thank you for taking the time to fill out this form. All information requested is helpful in matching prospective homes with the right pet. Upon receipt of this information, we will try to get back to you as quickly as possible. HOPE is supported mainly by volunteer efforts; therefore the adoption processes my take some time.

HOPE Rescue Adoption Contract

Basic Information

Animals currently in the household

References

Statements and Agreements