Hans Haven Rescue Application
Thank you for considering one of our Rescue babies to add to your family. We are very selective to whom we adopt a dog to. If you would like to be considered for one of our babies, please feel free to cut and paste this page to an email, fill out the questionnaire and we will get back to you promptly.
Name:___________________________________________________________________________________
Address:_________________________________________________________________________________
Home Phone:______________________________ Work Phone:____________________________________
Best Time to Call:________________ E-Mail ___________________________________________________
Occupation:_______________________________________________________________________________
HOUSING / LANDLORD INFORMATION
Do you own or rent your home? _________________________
If you rent, do you have the landlord's permission to keep a dog? _____________
Landlords Permission must be obtained!
Do you live in a: __House ___Apartment ___Townhouse ___Other:_________________________________
How long have you lived at this address? _______________________________________________________
FENCE / YARD / CRATE INFORMATION
Do you have a completely fenced yard suitable for a dog? ___Yes ___no
Do you have a kennel run? ___Yes ___no
Describe fence or kennel run - type, height and size: ______________________________________________
________________________________________________________________________________________
If no fence or kennel run, how will you handle the dog’s exercise and toilet needs?
________________________________________________________________________________________
Do you have a suitable dog crate? ___Yes ___no
If no, are you willing to purchase one? ___Yes ___no
HOUSEHOLD INFORMATION
How many adults in the house hold? _______ Children? ____________
Age and gender of children: _________________________________________________________________
Are any members of you household allergic to animals? ___yes ___no
Who in the household will have the main responsibility of caring for this pet?
________________________________________________________________________________________
How many hours a will the dog be alone? ________________________________________________
Please describe your lifestyle: ____active ____ passive ____ in-between
OTHER ANIMAL INFORMATION
Do you own other dogs? ___yes ___no Spayed / Neutered? ___yes ___no
Please list breed, size, and gender of each:______________________________________________________
________________________________________________________________________________________
Do you own cats? ___yes ___no If yes, how many? ___________
Any other animals? ____yes ____no if yes, please describe:_______________________________________
________________________________________________________________________________________
How many dogs have you owned in the past five years? _____________
If you do not still own the dog(s), please describe what happened to it (them). Please be specific.
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Have you ever returned a pet to the breeder? ___yes ___no
If so, what were the circumstances? ___________________________________________________________
________________________________________________________________________________________
Have you ever given a pet away? ___yes ___no If so what were the circumstances?
________________________________________________________________________________________________________________________________________________________________________________
Have you ever taken a pet to the pound or shelter? ___yes ___no If so, what were the circumstances?
________________________________________________________________________________________________________________________________________________________________________________
Have you owned ___________________________________ before? ___yes ___no
Why did you choose this breed? ______________________________________________________________
________________________________________________________________________________________
Do you know what the dog is bred to do? ___yes ___no If so what? _______________________________
________________________________________________________________________________________
What activities do you plan on doing with this dog?
___ pet ___ guard ___ hunting ___ obedience ____ agility ___
___ other: ________________________________________________________________________________
Will you be attending any training classes? _______________________
Do you plan on keeping this dog primarily? ___indoors ___outdoors
Where will dog sleep?________________________________________
Do you have a regular vet? ___yes ____no
Name: _____________________________________________________Phone:________________________
Address:_________________________________________________________________________________
PREFERENCES
SEX
I would like a ___female ___male ___no preference
COLOR
I would prefer a: ___________________________________________
Have you considered an older dog instead of a puppy? ___yes ___no ___unsure
Do you plan on breeding this dog? ___yes ___no ___not sure
________________________________________________________________________________________
Thank you for investing this time in your search for a new friend.