Dog Adoption Application

DOG ADOPTION

Dog Adoption Online Form

HSforBC updates and posts new dogs and information frequently so please visit this site often as you consider adoption. Due to HSforBC’s success in finding furever homes for foster dogs, some of the dogs featured here may no longer be available. The adoption fee is $175.00 for dogs and $200.00 for puppies, which includes spay or neuter, Rabies and other age appropriate vaccinations, heartworm blood test, deworming and microchip.

* Indicates required field

First Name *

Middle Name *

Last Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Emergency Contact Information *

Name of dog you wish to adopt *

List everyone who lives in your home, including children, roommates, and extended family. (include: name, relationship and age if under 18) *

Dogs and children should not be left together without supervision, especially the first few months you have a new dog. Are you prepared and able to supervise your new dog’s interaction with your children? *

Yes No

Are all the members of your household in favor of adopting an animal? *

Yes No

Is anyone in your household allergic to animals? *

Yes No

if yes, please explain... *

Who will have primary responsibility for daily care of the dog? *

Have you ever had a dog before? *

Yes No

If yes, what happened to it? *

Do you have any current pets? *

Yes No

If yes, please list animal type and age... *

If other, please explain... *

How long have you lived at ur current address? *

If you rent, do you have your landlord’s permission to have a pet? *

Yes No

The name and phone number of my landlord is... *

How will you exercise the dog? How often? *

Do you have a fenced in yard? How high is it? *

What is the usual amount of time that the dog will be left alone each day? *

If other, please explain... *

Where will the dog be sleeping at night? *

Are you familiar with crate training? *

Yes No

What will you do with the dog if you go on vacation? *

Are you willing to adopt a dog who has correctable or manageable behavior problems, such as food guarding or leash aggression? *

Yes No

What behaviors would you find completely unacceptable in a dog? *

What methods will you use to correct the dog for behaviors you find inappropriate? *

Have you ever worked with a problem in an adopted animal before? *

Yes No

If yes, please explain... *

Are you prepared to make a lifetime commitment with this dog that could last between 10-20 years? *

Yes, I am ready. No, I am not ready for this commitment.

What will you do with this dog if you move? *

What is the name and phone number of your current veterinarian? *

Have you adopted from us before? *

Yes No

If yes, please explain... *

Please understand that a friendly, newly adopted animal once in your home may show aggressive or unpredictable behavior. You should monitor your new pets behavior for the safety of your family as well as your new pets welfare. It is your responsibility to keep each of your pets current on vaccinations and registrations as required by law. Your pet must have identification while outside the home. There is a remote possibility that your new pet will bring home contagious diseases that could infect your other pets. If you decide that your new pet cannot continue living at your home you must notify HSforBC to allow us reasonable time to arrange for foster placement. You agree to hold HSforBC and it agents harmless for any loss or injury caused by, but not limited to, actions and statements pertaining to this adoption. Your signature confirms that you have read and understand the terms and conditions of this adoption. I certify that the above information is true and correct to the best of my knowledge. I understand that any false information may result in nullifying the adoption. If your new dog does not work out the adoption fee is 50% refundable up to 14 days after you take possession. Adoption fees are not refundable after 15 days. *

Today's Date *

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The Humane Society for Boone County is a private not-for-profit 501 (c) (3) organization almost entirely volunteer operated and dedicated to the task of animal welfare, rescue and education in Boone County, Indiana. Please consider donating to help our organization.

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