| Shelterluv

Do you currently live in a:

How long have you lived in current residence?

Please tell us about any pets in the household. We have one or more dog(s) We have one or more cat(s) We have one or more small animal(s) No Current Pets

You may check all that apply.

Please list all of the pets you have had in the last 7 years including current pets and those you no longer own and why no longer with you..

Do you have a regular veterinarian? Yes No

Veterinarian Name and Phone Number.

If you have other pets, are their vaccinations current? Yes No

Under what circumstances would you NOT keep this dog?

Do you have a fenced yard? If so, how high is your fence and what type of fence.

How many hours will the dog be alone each day and where will the dog be kept when no one is home?

Where will the dog be kept at night?

Please describe the temperament and activity level you are looking for in a dog: High Energy Outdoorsy Dog Lap Dog Mellow Affectionate Quite Guard Dog

The noise/activity in my home is usually: High Medium Low

I would enjoy brushing or grooming my dog: Occasionally Daily Weekly Monthly

I would prefer a dog that: Will exercise him/herself in our yard Would enjoy walking with me on leash Would enjoy going to the dog park Would run, jog or hike with me Requires only enough exercise to do his/her business

I understand and agree that Hounds of Freedom makes no express or implied warranty, representation or promise to the age, health, breed, habits, disposition or safety of the animal. I hereby accept the animal as is, assume all risks and responsibilities associated with the ownership of the Animal, including bites, and I hereby fully and completely release, indemnify and hold harmless Hounds of Freedom from any claim, cause of action or liability of any sort or nature, whether known or unknown, directly or indirectly arising out of or in connection with the adoption, care or ownership, maintenance, temperament or condition of the Animal. Yes No

I agree in the case I cannot keep the animal, he/she will be returned to Hounds of Freedom. All monies deposited will be considered a donation to the rescue and are non-refundable. Yes No

I acknowledge falsification of the above can result in my being denied adoption of an animal or if animal has been adopted to me, the return of that animal to Hounds of Freedom. Yes No

Name of dog you are interested in:

*I have read and agree to the Terms and Conditions