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ADOPTION APPLICATION
Thank you for your interest in adopting a homeless animal. The questions on this application are designed to assess your suitability as a home for a rescued animal and to help us find the best possible match between you and the animals available through H.A.N.D.. Please answer all questions as truthfully as possible. Only applicants who return this form to the address provided will be considered.
Contact Information
Name: Address:
City: State:Zip:
Home Phone: Work Phone:
Best time to call:Email:
Occupation:
Residence
IIs your residence a:
House ( rent own )
Condo ( rent own ) Are pets allowed? Yes No
Apartment Are pets allowed? Yes No
In the City
In the Country
In a Suburb
If renting, do you have the landlord's permission to keep a animal? yes no
How long have you lived at this address?
Do you have a fenced yard? yes no: Fence height: Type:
Does fencing completely enclose a yard for the animal?
If no fence, how will you handle the animal's exercise and toilet duties?
Pet History
Do you currently own other animals? Are they neutered/spayed?
Please provide the breed, sex, and age of each:
Name of regular veterinarian: Phone#:
Address:
Have you had animals in the past?How many?
What happened to them?
If deceased, how?
Adoption Preferences
Name or description of animal you are inquiring about adopting
Do you wish to adopt:Male Female No Preference: Age Preference:
Are you aware that any animal you adopt will have been spayed or neutered? Y N
Do you agree to contact H.A.N.D. if you can no longer keep this animal?Y N
How did you hear about H.A.N.D.?
H.A.N.D. Foundation is a non-profit rescue and referral service. We welcome any donations to help other homeless animals in need.
Submit this Application below or return this completed form to:
H.A.N.D. Foundation
Post Office Box Sixty Seven
Lookout Mountain, Tennessee, 37350
Or email to: adopt@handfoundation.com
Or Fax (706)398-3449
423-756-HAND
All of the above information I have given is true and complete.
Applicant signature:Date:
WE RESERVE THE RIGHT TO REFUSE AN APPLICANT
Thank you for contacting H.A.N.D. One of our volunteers will be contacting you shortly after receiving your paperwork. If you have not received a response by phone or e-mail in 10 working days, call us at (423) 756-HAND. Leave your name, phone number with area code, and message. We hope that you will be contacted before this call becomes necessary, and in most cases you will be. Please know our rescue volunteers handle a great deal of paperwork. This way you can be certain your application gets the prompt attention it deserves. We look forward to working with you.
FOR OFFICE USE ONLY:
Date Received: Reference Checked:
Date: Contacted?:
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