RobDar’s HoundSong Rescue

Adoption Application

robdar@houndsong.com   www.houndsong.com

Name:   First:                Last:

Street Address:     

City:    State:    Zip:  

Home Phone:  

Email address:  

Cell Phone :  

Do you own or rent your home:  ownrentselect    Type of Home:  ApartmentCondoTownhomeSingle Familyselect

If you rent are dogs allowed?  YesNoSelect one  Is there a size/ weight limit?  

Landlord Contact Info:  

Is your yard fully fenced?  YesNoSelect one  What type of fencing?

If NO, how will you exercise your dog?

Will the dog be on a leash outside?YesNoSelect one

Do you have children:     YesNoSelect one    What age/ How Many?  

Are your children experienced with pets?  YesNoSelect one

Which family member will be the primary care giver to your dog?  

How many hours a day will your dog be home alone?    1-33-66-99+0Select one

Does anyone in your household have allergies?  YesNoSelect one

Do you currently have pets in your home?
YesNoSelect one

List How Many/ Breed/ Age(s):

 Veterinary clinic (name and address Phone number)

Are your pets Altered and up to date on Vaccinations?
YesNoSelect one

Last name and pet name on most recent Veterinary records:

Do you Have any experience with Beagles and/or Coonhounds?       If YES please explain:

How do other members of your household feel about adopting an rescue animal?

Are you familiar with Crate training?      If YES explain:

Do you have a crate available?
YesNoSelect one

What kind of dog will fit best in your home? (age, playfulness, etc.)

What size crate do you have available?

Are you aware your dog may need housebreaking?
YesNoSelect one

Do you have any special training experience?
YesNoSelect one

 What behaviors would you find unacceptable in your rescue dog?

     please explain:

Who will care for you dog during vacations/family trips?

Where will your dog stay during the day?

Where will your dog sleep at night?

 Are you familiar with your towns codes and requirements for keeping animals and how many?
YesNoSelect one

If YES what are those codes/requirements?

Are you willing to allow RobDar’s a home visit and follow up visits at RobDar’s discretion?
YesNoSelect one

What food do you presently feed your pet(s)?

Have you ever adopted from another organization?    If YES please provide contact information for reference.

Employement Information: Company name/Address/Phone?        

Are you aware you dog will cost a minimum of $100-$200 in annual veterinary care?
YesNoSelect one

Are you aware that your adopted dog will require as many as 30 days to adjust to its new home?
YesNoSelect one

Are you willing to take your new dog through obedience classes?
YesNoSelect one

Are current pets obedience trained?
YesNoSelect one

If answered NO to above question, explain why.

will you allow RobDars to contact your employer for verification?

Emergency Contact :

Emergency contact name:  

Phone:  

Emergency contact relationship:  

Reference name:  

Phone:  

Reference relationship:  

Reference name:  

Phone:  

Reference Relationship:  

Print name: not applicable  

Signature: not applicable