Dog Adoption Application

I am interested in:

Fostering Only

Fostering to Adopt

Adopting

Contact Info

Your First and Last Name, Address, Phone,(all required)

Choose One

I own my home

I rent my home

Landlord Name and Phone

Family

List everyone in the family, including the ages of children and where adults are employed.

Email Address

What do you know about care and feeding of dogs and how much do you think it will cost yearly?

Housing

Where will the dog be kept during the day? Night?

Is your yard fenced in?

Veterinarian

Veterinary Clinic and Phone number (please list all you have used in the last 7 years)

Current Pets

Name, age, spayed/neutered? Where kept?

Past Pets (past 7 years)

Name, Breed, What happened to them?

Which Dog(s), if any, are you specifically interested in? or looking for?

Tell us about your ideal dog. (FOSTERS- tell us what types/ages of dogs you can foster)

I hereby authorize representatives of HSWC to investigate any information provided. My typed name below will serve as my signature.