Hallie Hill Animal Sanctuary Dog Adoption Application Form printable pdf download

Hallie Hill Animal Sanctuary

Dog Adoption Application Form

Thank you for your interest. Completion of this form does not guarantee that you will receive an animal from

us. The information you are providing will be used to determine if we have a suitable animal for your lifestyle.

Please return your application to: Hallie Hill PO Box 508 Ravenel, SC 29470 or

Date: _____________________ Which dog are you interested in?_______________________________

Name:____________________________________________ Phone #s____________________________

Street Address:_______________________________________________________________________

City:___________________________________ State:_______ Zip Code: ________________________

Home Phone: (_______)_____________________ Cell: (_______)________________________

Work: (______)_____________________ Email: ____________________________________________

Driver’s License# and State: _______________________________________________________

Are You ⃝Married ⃝Single If Married, Spouses Name: ______________________________

Your Occupation: _______________________________________________________________

Spouse’s Occupation: ___________________________________________________________

Please list the names and ages of people living in your household (include yourself)._____________________

__________________________________________________________________________________________

_________________________________________________________________________________________

Why do you want to adopt a dog? _____________________________________________________________

Does anyone in your house have allergies to animals? __________________________________

Where do you live? ⃝ House ⃝Apartment

⃝Condo

⃝Mobile Home

Do you ⃝own or ⃝rent?

How long have you lived there? _____________________

If you rent, please provide landlord’s name: __________________________________________

Landlord’s phone number: ______________________________________

Do you have a fence? Y or N if yes, Type: _________________ Height: ________________

Who will be the principle caretaker of the dog? ______________________________________

How much time will the dog be left alone? ___________________ Where will the dog stay during

the day? __________________ Where will the dog sleep? ________________________

Where will the dog live? ⃝ Inside ⃝Outside ⃝ Inside/Outside

Have you ever adopted a dog/puppy before? Y or N If yes, describe the circumstances.

_____________________________________________________________________________

Hallie Hill Animal Sanctuary Dog Adoption Application Form