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.

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.

Please read this before you fill out the application.

DO NOT fill out this application if:

1. Currently, you have a dog/cat in your home that is not spayed or neutered.

2. Current dogs /cats in the household are not current with their vaccinations.

3. If any question is not answered completely, we will not call you for the answers.

***PLEASE BE AWARE***

If you do not provide the correct information (for us to do our job correctly)

OR you do not notify your vet to permit them to discuss your pet's medical care,

we will not be contacting you for corrections.

Your application will be denied.

Our adoption fee is $300 per dog.

Our fee helps cover the spaying/neutering, first shots, microchipping and

transportation from the originating shelter.

All of our dogs that come from the south are heart worm tested and if found positive are treated before adoption.

You will receive all of the dog's medical records as well as a bag of dog food the dog was eating.

All of our dogs are good with other dogs, school age kids, and are currently crated for up to 5 hours a day.

Our dogs walk well on a leash, and most of them know simple commands.

Descriptions of our dogs are as accurate as we can be.

Most of these dogs do not have a past, and if they do, we indicate that on their Petfinder profile.

We do not know the exact breed or how big a puppy will be when they grow up.

** Sponsored dogs (money has been donated toward adoption fee) varies from amount donated.

**Over the age of 5 - $100.00 donation to cover health certification and transportation.

You must be 21 or older to adopt on of one of our dogs.

An approved application is good for only 3 months from the date of submitting.

If you have any questions about our procedures or in filling out this form,

help is available by contacting Grace Benson at the phone number or email above.

Laura's Hope Rescue reserves the right to deny adoption to anyone at any time for any reason.

To do what is best for each animal, they are adopted on a first come first served basis at the shelter

to qualified recipients only.

Please start by telling us which animal you wish to adopt, then provide the following personal information:

Adoption Application

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	Name	Phone Number	How Long Acquainted

Who is your second reference (no relatives please)? * 🛈

	Name	Phone Number	How Long Acquainted
Reference 2	Name	Phone Number	How Long Acquainted

Please provide a third reference if you don't currently have a veterinarian

	Name	Phone Number	How Long Acquainted
Reference 3	Name	Phone Number	How Long Acquainted

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
Pet 2
Pet 3
Pet 4

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 No

Do you use Heartworm preventative on your dogs? * 🛈

No

Yes

*If you don't currently own a pet, please list the PHONE NUMBER & NAME of the veterinarian/clinic you plan to use.

If you currently have or have had pets in the past, you must list the following:

1. Veterinarian's PHONE NUMBER
2. Veterinarian's NAME
3. How long have your pets seen this vet?
4. Have you also used other veterinarians or clinics? If so, please explain.
5. Beside your name, what other names may your pet's vet record be listed under?

Please CONTACT YOUR VET and give them permission to speak to us.
We WILL be calling them for a reference. *

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Have you ever given up a pet? If yes, why? *

No

Yes 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 No

Do you have a yard? If yes, how big is it? *

No

Yes Yes

Is your yard fully fenced? If yes, what is the type and height of the fence? *

No

Yes Yes

Do you have an outdoor pen/kennel? If yes, how big is it and is it covered? *

No

Yes 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 ? *

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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: *

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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 safe keeping of this pet? *

No

Yes

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