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AHeinz57 Pet Rescue & Transport
Step 1 of 4
Please email us at firstname.lastname@example.org for any questions prior to filling out the adoption application and an adoption coordinator would be happy to assist you.
Interested in adoption? To be considered for an adoption please complete each section. Because we consider these dogs our family we take extra care to make sure they are going to the correct home. The information we obtain is for the health and safety of our dogs and not meant to be obtrusive. We love our dogs! Your information will be kept private and not sold to marketing firms.
*What is the name of the pet you are interested in?
Will this pet be an inside or outside pet?
Inside (sleeps in your house)
Outside (sleeps outside in dog house or barn, etc.)
If your answer is "outside", please stop here and refer back to our Adoption Process.
*Please note that AHeinz57 does NOT believe in keeping dogs outside and will not adopt to families looking for outdoor dogs, unless we believe a particular dog would be happiest outdoors. Unless dogs are allowed to go into the adopter’s home (the garage doesn’t count) we consider them outdoor dogs.
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Where did you first learn about this pet?
Adopt A Pet
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Name of county of the state that you live in
SECTION TWO - ADOPTION APPLICATION
PLEASE BE ADVISED:
We will contact your landlord and vet, verify home ownership, and possibly do a background check. Fences are generally required. Exceptions will be made in some instances.
Have you adopted from AHeinz57 before?
Who have you adopted before?
Alternative phone number
Names and ages of all household members:
Do you have any other pets at home?
If yes, please tell us the name of the pet, breed and ages of each animal.
Do you own or rent your home?
If renting, do you have your landlord's permission to adopt this pet?
Landlord's Phone Number
Are you a member of a homeowner's or similar association?
Homeowner's association contact
Homeowner's association contact number
Do you have a fenced yard?
Yes - invisible fencing
Yes - standard fencing
If standard fencing please note height of fence in feet:
Do you have plans to move in the future?
If yes, what do you plan to do with your pet?
Are your pets spayed or neutered?
I currently have no pets
If no, why not?
Current or previous veterinarians name:
Current veterinarians phone number:
Are you financially prepared for unforeseen medical expenses?
What other pets have you had in the past five years? Please include name and breed.
What happened to them? If deceased, please explain.
Does everyone in your household want to adopt this pet?
What are the main reasons for adopting this pet?
What steps would be taken if your newly adopted dog begins to exhibit undesirable behaviors after adoption?
Please check each box below and sign with either your finger (mobile device) or a mouse (PC). By signing the statement you are agreeing that you have read it, understand it, and agree with our terms.
I certify that the information that I have given is true and I authorize investigation of all statements made above. I recognize that any misrepresentation of facts may result in losing the privilege of adopting a pet.
*I understand that AHeinz57 has the right to refuse any request for adoption.
I give permission to AHeinz57 to share information about me that may be obtained during interviews, reference checks or home visits with other humane organizations.