Application for Adoption

H.O.P.E.

P.O. Box 2497

Wilton, NY 12831

(518) 428-2994

Fee is $95 for dogs, $50 for cats

The answers you give on this application help us find the best possible match between you and a pet within our rescue program. The more we know the better we are able to make each adoption successful!!!

Your Name: ______________________________

Spouse/Partner’s Name: __________________________

Address: ____________________________________

Home Phone: ___________________________

City, State, Zip: ______________________________

Work Phone: ___________________________

Occupation: __________________________

Spouse/Partner’s Occupation: _____________________

Referred By: _____________________________

Veterinarian: _____________________________

Type of dwelling (circle): House/ Condo/ Apartment/ Own/ Rent /Smoking /Non-Smoking

If you rent: Landlord’s Name: ________________________ Phone: ________________

Do you have a yard? Yes /No     If so, what size? ______________________________

Do you have fencing? Yes/ No     If yes, type and height: _________________________

Please list the reasons you want a pet: __________________________________________________________

_________________________________________________________________________________________

What characteristics are important to you? (i.e. calm, playful, shorthair, travels well) ______________________________________________________________________________________________________________

In the past five years, how many dogs have you owned? __________________

Cats? ___________________

Please list breeds: __________________________________________________________________________

Do you still have them? _____________

If not, what happened to your pets? ____________________________________________________________

How long did you have these pets? _____________________

How many people live in the household? Adults_____________________

Kids (ages)_______________

Do children frequently visit? ______________________________________

Does anyone have any allergies? Yes /No

Where will the pet be kept during the day? ____________________________

Where will the pet be primarily living? Inside/Outside

Are you willing to take the dog to obedience if necessary? Yes/No

Do you prefer Male/ Female/ No Preference? What age are you looking for? _____________

Do you prefer a Small /Medium/ Large dog or cat? Would you consider over 5?___ Over 8?_____

How many hours per day will the animal be left alone? ___________________________

Is this your first experience with a dog or cat? Yes /No

What do you consider a reasonable amount of time to allow the pet to adjust to your home? _______________

Signature: ____________________________________________

Date: __________________________