NOTICE TO ALL APPLICANTS: Please be advised that Happy Paws Rescue Inc is a New Jersey based rescue/adoption organization. It is our policy to adopt dogs and cats in New Jersey and parts of New York and Pennsylvania only. It is also our policy to have Happy Paws Rescue Inc members make home visits for every adoption. If you live beyond our geographical boundaries we hope you will contact rescue organizations closer to your home. Thank you for your interest in adopting a rescued animal.

Happy Paws Dog Information
Name of Dog: / Breed: / Date:
Adopter’s Home Information
Name:
Street Address:
City: / State: / Zip:
Home #: / Work # / Cell #
E-mail (preferred method of contact):
Type of Housing: / Apartment: / Condo: / House
Do you currently? / Rent / Own / How long have you lived there:
If you are renting, please provide your landlord’s name & number:
Are you planning to change residence in the near future? If yes, please explain:
Do you have a yard? Fenced in? If yes, height? Is it fully or partially fenced?
If no, do you understand what a dog requires for exercise and bathroom needs?
Would you mind if a representative of Happy Paws Rescue, Inc came to your home to visit?
Number of Adults at Home: / Number of Children at Home: / Children’s Ages:
Does everyone in the house agree to adopt this pet? / Does anyone have allergies?
Which family member will have the major responsibility of caring for this pet?
Do you often have people visiting your home?
Adopter’s Home Information
Do you have animals now? If yes, please list them below
Name / Breed / M/F / Age / Spayed/Neutered
If any of your pets are not spayed/neutered, please explain why not:
Are they current on vaccinations? / Are they on a heartworm preventative?
Past Pets
Have you had other animals in the past? If so, what happened to them?
Have you ever had to give up an animal? If so, how did you do that?
Care of your new Dog
Why do you want to bring a new dog into your home?
How long have you been searching for a new dog?
Where have you searched?
Why are you interested in this particular dog?
When will you be ready for your new dog?
How long with the dog be left alone during the day? Where will the dog be kept?
Do you own a crate? Have you ever crate-trained a dog? Do you plan on crating your new dog?
Will the dog be kept - Inside Outside Both
How much daily exercise will you provide (please explain)?
Do you understand that your new dog may develop issues as it adjusts to its new home?
Will you tolerate the following issues: Housebreaking accidents? ______Chewing?______Barking/whining? ______
If no, please explain:
If these issues are not resolved in a reasonable amount of time, what will you do?
What do you consider a reasonable amount of time?
Would you be willing to take the dog for obedience training if needed?
Have you ever taken a dog to obedience training before?
If needed, how will you housetrain the dog?
Are you financially ready and willing to provide the medical care your dog will need for its lifetime?
If something happened to you, who would care for the dog?
References
Veterinarian’s Name: Phone Number: City:
Personal Reference / Relationship / Phone Number

Please provide any other information you may want to include in regards to adopting this pet.

I have filled out all of the above information truthfully on this date

Signed

*Please note: This application may take up to five days to process. You must be 18 years of age to adopt. Incomplete applications will not be processed.