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Please note: An appointment can be made to see a dog you may be interested in adopting. Call or use the email from to request an appointment.

Fill in and submitt the Adoption Application below or to download a blank Adoption Application Form click here. It then can be filled in and Snail mailed to Helping Hounds.

Adoption Application Form

Dog's Name:

There are many dogs who need homes for a variety of reasons. It is our job to match you with a dog that will fit your lifestyle. By providing us with the information contained herein, it will better aid us in this process. The information you provide will be held in strictest confidence and will only be used for this purpose.

Enter Your Email Address *

First Name: *

Last Name:*

Address*

City*

State*

Zip*

Home Phone *

Work Phone

Cell Phone

Rent

Own

Single Family

Apartment

Townhouse/Condo

Mobile Home

Landlord Name	Landlord Phone
Vererinarin	Vet Phone

Current Pet Information
	Name	Type / Breed	Sex / Age	Altered
Pet #1				Yes No
Pet #2				Yes No
Pet #3				Yes No

Number Adults in Home: Number Children in Home:

Ages of Children: #1 #2 #3 #4 #5

Is someone home during the day? Yes No

If no to above, where will dog be left?

How many hours will the dog be alone during the day?

Do you have a fenced yard? Yes No

If not to above, how will you exercise the dog?

Do you own a crate? Yes No

How will you discipline your dog?

Will your dog attend obedience classes? Yes No

Do you understand that many dogs are scent driven and with rare exception, must NEVER be allowed off-leash in open, unsecurred areas? Yes No

Personal Reference Name:
Reference Phone Number:

Why do you want to adopt a rescue dog?

Comments:

Type the following:

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By clicking the submit button below, I hereby authorize the above veterinarian to discuss with and supply information to Helping Hounds Dog Rescue Inc. regarding the pet(s) listed on this form. I also specifically give permission to Helping Hounds Dog Rescue Inc. to verify any and all information contained herein.

We are dedicated to finding loving permanent homes for unwanted, neglected, abused, stray or homeless beagles and hounds.

Helping Hounds Dog Rescue Inc. •Dewitt, NY 13214 • Phone: (315) 510-6618

Adoption Application Form

Current Pet Information