Adoption Application
Laura's Hope Rescue
Box 3385
Forest Road
Hop Bottom, PA 18824
Phone: 570 280-2083
Email:
laurashoperescue@gmail.com
Thank you for considering rescuing an animal in need of a good home. The adoption of a life-long friend should not be impulsive, but rather a carefully-made decision which will ensure a loving, lasting relationship.
To ensure the safety and best interests of the animals we have taken into our care, we ask that everyone who is interested in adopting an animal from this rescue answer fill out this application form. Please be aware that in doing so, you are giving the volunteers of this organization the right to check your references by telephone and to come to your residence for a home visit.
Our adoption fee is $200.00--$300.00 per dog. Any dog over the age of 5 fee is a donation. This helps cover the spaying/neutering, first shots, microchipping and transportation from the originating shelter. If you are approved for one of our dog's the FOSTER (F)
requires a $50 deposit in order for us to hold the dog for you
. (R) or RESCUE means the dog is at our facility and with a approved application he or she can be yours!
Descriptions of our dogs are as accurate as we can be. Most of these dogs are strays unless other wise noted. We do not know the exact breed of the dogs and puppies. All of our dogs are in foster homes for two weeks or more.
If you have any questions about our procedures or in filling out this form, help is available by contacting
Hope Benson
.
Please start by telling us which animal you wish to adopt, then provide the following personal information:
*
Animal
*
Second choice if first animal is no longer available
*
Your Name
*
Your Street Address
*
City, State and Zip
*
Home Phone
Work Phone
Cell Phone
*
Email Address
*
Who is your first reference? (no relatives please)
Name
Phone Number
How Long Acquainted
Reference 1
*
Who is your second reference (no relatives please)?
Name
Phone Number
How Long Acquainted
Reference 2
Please provide a third reference if you don't currently have a veterinarian
Name
Phone Number
How Long Acquainted
Reference 3
*
Please list the ages of all adults in the household (including yourself)
*
Please list the ages of all children in the household
What other pets do you have in your household?
Type
Age In Years
Gender
Spayed/Neutered
Pet 1
Dog
Cat
Other
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15 or more
Male
Female
No
Yes
Pet 2
Dog
Cat
Other
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15 or more
Male
Female
No
Yes
Pet 3
Dog
Cat
Other
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15 or more
Male
Female
No
Yes
Pet 4
Dog
Cat
Other
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15 or more
Male
Female
No
Yes
*
Name of Pet 1
*
Name of Pet 2
*
Name of Pet 3
*
Name of Pet 4
*
Are all your pets up-to-date on vaccinations? If no, why not?
Yes
No
*
Do you use Heartworm preventative on your dogs?
No
Yes
*
What is the name and phone number of your veterinarian? How long with this vet?
NOTE: Please contact your vet and give them permission to speak to us as we WILL be calling them for a reference.
0/255 characters
*
Have you ever given up a pet? If yes, why?
No
Yes
*
What happened to the last pet you owned?
*
Do you own your home? If no, please provide the name and phone number of your landlord.
Yes
No
*
Do you have a yard? If yes, how big is it?
No
Yes
*
Is your yard fully fenced? If yes, what is the type and height of the fence?
No
Yes
*
Do you have an outdoor pen/kennel? If yes, how big is it and is it covered?
No
Yes
*
What are you looking for in your new family member?
*
How long are your pets left at home on a normal day? Weekdays? Weekends?
*
Where will your pet be kept when you are not at home during the day?
*
Where will your pet be kept when you are away for more than a day?
*
Where will your pet be kept at night?
*
What kind of activities does your family participate in? Will your new family member be left alone long during these outings?
*
What would you do with your dog if you had to move ?
0/255 characters
*
Are you willing to work with the animal if a behavioral problem should arise?
No
Yes
*
Have you ever obedience-trained a dog before?
No
Yes
*
Are you familiar with crate training?
No
Yes
*
Are you willing to use a crate for your new pet?
No
Yes
*
Please explain your reasons for wanting to adopt this animal:
0/255 characters
*
Remembering that pets are an investment of your time and money, can you afford to provide medical care, grooming, proper diet, proper shelter and exercise for your new pet?
No
Yes
*
What provisions will be made for the pet should you become ill or can no longer care for the pet?
*
Do you agree to return the pet to this rescue if you find that you cannot keep the animal and provisions cannot be made for the safekeeping of this pet?
No
Yes
Please email me updates
*
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