Dog Adoption Application

Helping Hands Rescue (HHR) is thrilled you are considering adopting a rescue animal. Please understand that we are an advocate for the rescue animal and that the animal’s well-being is our #1 priority.  Our application process is designed to help us determine if a home matches a pet’s needs and assist in finding a pet that is most compatible with your lifestyle and expectations.

Adopter Information

Name(Required)
Address(Required)
Are you employed?(Required)

Household Information

Please describe your household:(Required)
Why are you looking to adopt a dog or puppy?(Required)
Do you:(Required)
If you rent, does you rent agreement allow pets?(Required)

Dog Care Questions

Is everyone in your family in agreement with the decision to adopt this dog?(Required)
Are you prepared to care for this dog for its entire life (10-15 years)?(Required)
Do you have time to provide adequate love and attention to your new dog?(Required)
Do you have a securely fenced yard?(Required)
If not in a fenced area, will the dog be on a leash?
Is there a doggie door leading to the yard?
Will your dog be allowed indoors?(Required)
Will the dog be allowed the run of the house when no one is at home?(Required)
Will you provide a crate for your new dog?(Required)
Have you ever trained a dog to respond to simple commands?(Required)
Do you agree to spay/neuter this dog, if not already done?(Required)
What circumstance might justify giving up your dog?(Required)
Please think about the question and answer honestly.
Please list name and phone number.
Please list name and phone number.
Do you agree to pay an adoption fee, depending on the dog’s age, health and possible special needs?(Required)
Please list name and phone number.
By selecting the checkbox below I agree to:(Required)