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Thank you for your interest in adopting a pet from Homeward Bound Rescue!  So that we might ensure that the pet you are interested in adopting from us is an ideal match for your home and lifestyle, such  that everyone involved ends up blissfully happy with the arrangement, we ask that you take the time to fill out our adoption application.   Please answer all of the questions completely and honestly.  When you are finished hit the "Submit Form"  button at the end of the application and give it a minute or two to display a confirmation page.  Please note that any misleading or false information will force us to disregard your application, and nobody wants that.


Please provide the following personal information:

First Name  
Last Name
Street Address
Address (cont.)
Zip/Postal Code
Work Phone
Home Phone


What is your current living Situation?

Number of years at current address:

Are you 21 years or older?

Do you live at home with one or both of your parents?


If you answered "Yes" to the above question, STOP RIGHT HERE!  You must have one of your parents fill out and submit an adoption application, (regardless of your age).  Unfortunately we are unable to consider an application submitted by anyone other than the decision maker and/or head of the household.   You'll thank us for this.




If you rent, please provide the following information:


Landlord's Name
Landlord's Phone
Are pets permitted where you rent and have you discussed your plans to adopt with your landlord?  Please explain:


Please note:  We are obligated as responsible rescuers to contact your landlord to verify the information provided above.


Which of our adoptable pets are you most interested in? Please provide the pet's name an ID#:

Why would you like to adopt this pet?  Please explain:
Are you interested in adopting a dog for protection?  Do you want a dog that will guard your house?  Please explain:
What are your thoughts regarding dogs that live outside full time?
What are your thoughts regarding dogs that are chained?
Please list the number of people who live in your household, your relationship with them and their ages if they are children:
How do the other members of your household feel about bringing a new pet into the home; enthusiastic, supportive, indifferent, opposed?  Please explain: 
Are there any household members who have animal allergies?  If so, please explain:
How many hours a day will this pet be left alone; where will the pet be kept and what provisions will be made if any?
What member of your household will be this pet's primary caregiver?
Please list the species, age and gender of any pets currently in your household:
If you currently have pets in your household, how well do they get along with other animals?
Please list all of the pets that have been a part of your household in the past five years; species, current status:
What happened to the pets that are no longer with you?  Please explain:
What are your thoughts on spaying and neutering and have you chosen to have the procedure done on your current and past pets?  Please explain:
Have all household pets, past and present, been kept current with vaccinations?  If not, please explain:
Do you have a fenced in yard?  If so provide details; size of yard, type & height of fence:
If not, how will you accommodate this pets bathroom and exercise needs?
Where will this pet spend the majority of his or her time?
Are you familiar with crate training as a method of house training?
What personality or behaviors in a pet are you unwilling to tolerate? Please explain:
How will you handle behavioral issues should they arise?  
Are you familiar and/or experienced with the characteristics of the breed (or breed mix) you are interested in adopting?
Are you aware that the law requires all household pets to be registered (licensed) with your home township and renewed annually?
Are you aware that that proof of current vaccinations are required to obtain and/or renew your pet's license?
What do you anticipate spending per year for veterinary/medical care for this pet? 
Would you be able to provide care for this pet should your home or family situation change; relocation, divorce?  Please explain:
If needed, would you be willing to participate in and would you be able to afford obedience training for this pet?
Your new pet may require two to three months of adjustment time.  Will this pose a problem?
Are you prepared to be this pet's guardian for the next ten to fifteen years or more?

Veterinarian Reference

Please note: VERY IMPORTANT!  If you have had pets in the last five years, you must provide a Veterinary reference.  Please include the phone number.  Incomplete applications will be discarded and you will have to re-apply!


Veterinarian's Name

Street Address

Address (cont.)



Zip/Postal Code


Personal Reference


Please provide the contact information for a personal reference.  This person must be 21 years or older, cannot be a family member and cannot be a member of your household.  Please provide all of the requested information.  If any of the requested information is missing, your application will not be considered.


Relationship to Reference


Reference Name

Street Address

Address (cont.)



Zip/Postal Code



This is an application to adopt a pet, not an adoption contract; it in no way obligates you to adopt this animal nor does it obligate Homeward Bound Rescue to adopt this animal to you.


I understand the necessity and importance of providing accurate and truthful information and by initialing this application I'm confirming that I've done so.


IMPORTANT:    Please indicate that you understand the following:  Homeward Bound Rescue of NJ reserves the right to deny any application for any reason.  The choice to deny an applicant is always the right of Homeward Bound Rescue of NJ.


Thank you for taking the time to fill out our lengthy application.  Please double check and make sure you've answered all of the questions completely.  If information is missing, we will not be able to consider your application.  Someone will contact you as soon a humanly possible.  This is purely a volunteer effort and we are always very busy so please be patient!

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Copyright 2004 The Human Race