2017 HAA Adoption Application
Adoption Application 2017
Which dog/puppy are you considering for adoption? If you are not sure yet, please put still looking. Also, if their are multiple ones you are considering, please list all.
Your answer
Your Name:
Your answer
Phone: home & cell with area code
Your answer
FULL Address with City, State and Zip
Your answer
Email Address:
Your answer
Employer/Employment Status:
Your answer
Please list the ages of all persons living in your home.
Your answer
Does anyone in your family have allergies? What will you do if a family member is allergic to this dog?
Your answer
Where will the dog be when the owner is home?
Your answer
Where will the dog be while home alone?
Your answer
Where will the dog be at night?
Your answer
How will the dog be cared for if the owner is vacationing or for any reason has to be away?
Your answer
Do you have a fenced yard? (this is not necessarily a requirement)
If no, how do you plan to let the dog out? How do you plan to keep the dog safe from traffic or running away? How close do you live to a street or road?
Your answer
*Note - " Tennessee has a state law (§ 44-8-408) that makes it a crime to allow a dog to run at large. The dog must be under control at all times if out. "
Do you rent? If yes, landlord's name, address and phone #. Does your lease allow pets? Is there a deposit required?
Your answer
What pets are currently living in your home? Are they inside or or outside pets? If no pets currently, have you ever owned any pets?
Your answer
Name of your veterinarian? Vet address and phone #
Your answer
*** If a puppy ... When do you plan to have your dog spayed or neutered?
Your answer
Have you ever adopted a pet? If yes, when and where?
Your answer
Do you agree to have a shelter representative visit your home prior to adoption?
Please list two personal references and their contact information. These should be persons that can verify that your home is a safe and dog friendly environment.
Your answer
How did you hear about us?
Your answer
By submitting this application I certify that the information I have given is true and that I recognize any misrepresentation of the facts may result in my losing privilege of adoption. I authorize investigation of all statements on this application. I further understand that I have read and signed the adoption agreement and that I have read and understand all documents making up this adoption packet. I understand that if I feel I cannot keep the dog for any reason I MUST return him/her to the animal shelter, and must not sell/give him/her to anyone else.
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