Safe Haven Animal Rescue Effort, Inc.

Online Application
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Online Application

Thank you for your interest in rescuing a dog and for taking the time to complete this application. Please take a moment to read the adoption policy before completing the application. We appreciate your honesty in answering all of the following questions. Incomplete applications will not be considered. Review of the information you provide will assist us in matching the appropriate dog to your lifestyle. Our main concern is the future health and well being of all the animals in our care.  

Dogs Name
Full Name:
Physical Address
Email Address:
Telephone Number
Cell Phone Number
Vet currently used with phone number and address
Reference #1 name and phone number
Reference #2 name and phone number
If the dog has not been spayed/neutered I agree to have this done within 30 days and supply SHARE with proof. If the dog is a puppy I will have it spayed/neutered as soon as age allows.
Dogs in home
Cats in Home
Will the dog be kept inside or outside?
Have you ever surrendered a dog to a shelter or rescue? If yes please explain.
Will the dog be crated or confined? If yes when?
Will the dog be microchipped or other identity measures taken? Please explain.
Is the dog being adopted as a family pet?
Do you own or rent your home? If you rent please list landlord's phone number.
Are there children in the home? How many? Ages?
Will the dog be alone all day while you are at work or school? If so how will the dog be contained?
I agree that the dog will not be sold, traded, given away or otherwise disposed of without prior consent from SHARE RESCUE and if for any reason I can not keep the dog I will return it to SHARE RESCUE.
  

It should be understood that applications for dog/puppy adoptions are subject to acceptance based on a review process that may require collecting information from references. Decisions on placing dog/puppy in adoptive homes is an 'art,' not a 'science' and there might be times when applications will be denied for various reason(s). Safe Haven Animal Rescue Effort, Inc. reserves the sole and exclusive right to make all decisions regarding placement or final disposition of any rescued dog in its care whether in, or being placed in, a foster or adoptive home or other facility. There is absolutely no guarantee made or implied that any person or persons requesting to adopt a dog through Safe Haven Animal Rescue Effort, Inc.  (SHARE) will be granted an adoption.

I certify that the information provided is complete and correct to the best of my knowledge. I understand that Safe Haven Animal Rescue Effort, Inc.  (SHARE) reserves the right to contact any individual listed on this form.  I am also aware that if the dog is not spayed or neutered at the time of adoption due to age restraints or other issues that failure to provide proof of the spay/neuter surgery within 30 days from the date of adoption or 30 days from the date the puppy becomes of age forfeits my adoption rights and the dog may be seized by SHARE.  These terms are acceptable to me, which I have indicated by my electronic signature below and by pressing the submit button:
I understand and agree with the above statements.

 

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