Fill out the form below If you would like to adopt.. Perspective Pet Parent * First Name Last Name Name of the Pet You Wish to Adopt * Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Do you own any pets? * Pet Name(s) Pet Breed(s) * Pet's disposition and behavior towards other dogs? * Please provide your veterinarian's name and phone number: * Do you own or rent your home? * Own Rent Do you have a yard? * Yes No If "Yes" to the above, is it fenced? please describe What is your landlord's pet policy? * If you rent, please provide your landlord's information here: * Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter? * Yes No Are there children in the home? (If yes, please list ages) * If you answered "Yes" to the above question, please provide detail: How many hours per day would the pet be alone? * Will you crate your pet? * If you have to leave town, emergently or planned, where would your pet stay? * How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet? * Please provide the names, emails, and contact numbers for 3 personal references: * Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment? * Yes No If you answered "Yes" please provide a detailed description: I agree to Happy Place Animal Rescue's adoption process, will undergo a homecheck, and interview at the discretion of Happy Place Animal Rescue. * I agree * By clicking the submit button, I understand Happy Place Animal Rescue will check my references including veterinary and personal. * I understand * By clicking the submit button, I agree to get the adopted pet neutered or spayed when it comes to age or immediately upon adoption if at age appropriate when adopted. * I Agree * By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Happy Place Animal Rescue and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet. * I understand * By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify Happy Place Animal Rescue BY EMAIL and provide a 14 day period to allow Happy Place Animal Rescue to make arrangements for my pet to be taken back into rescue. * I Understand * By clicking the submit button, I agree to indemnify and hold harmless Happy Place Animal Rescue against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed. * I agree * By clicking the submit button, I understand that Happy Place Animal Rescue will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed. * I understand * By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Happy Place Animal Rescue and provide transport to where Happy Place Animal Rescue deems appropriate. * I understand * I have read and agree to all the terms listed on this form. I also verify all of the above information is true and accurate. * Yes Thank you!
