Adoption Application

Please describe the lifestyle you envision for your new dog. *

For whom are you adopting? *

Veterinary Reference *

I understand that CLHR requires a veterinary reference for previous or current pets. Please list the name, full address and phone number (with area code) of your veterinarian. If you have used more than one veterinarian, specify which pet(s) is a client with each specific veterinarian. List all veterinarians involved in the care of each pet and include the approximate date range during which care was provided. If this dog is not for the applicant, please also provide the name and address of the person on whose behalf you are applying; we must have the name so that the appropriate account can be found. PLEASE TELL YOUR VET THAT A CLHR VOLUNTEER WILL BE CALLING THEM.

What size of dog are you wanting to adopt? *

Breed *

State *

Age

From where did you get this pet?

If yes, please describe.

Email Address *

What do you feed your current pet(s)? (Indicate N/A if no current pets.) *

Do you own your home?

Yes

No

Species *

Please give three good days/times to contact you by phone along with the best phone number to use at each time. *

Address *

Was/is this pet on heartworm and flea/tick medication?

Yes

No

First Name *

If obtained from a Rescue or Other, please specify. (Otherwise, please indicate N/A.)

Phone Number *

Size/Weight

Please describe how you would teach your dog a new behavior or trick. *

Size/Weight *

Please list the name(s) of dogs you see on our available list that interest you. If there is not a specific dog, please list the breed of dog or otherwise decribe the type of dog that you are interested in. *

Current Veterinarian Name and Address *

What is the approximate size of your fenced yard? (i.e. 110x60 feet) *

Primary Phone Number *

Do you prefer a male or female? *

Name of Pet #1 *

If obtained from a Rescue or Other, please specify. (Otherwise, please indicate N/A.) *

Under what circumstances would you return a dog to Carolina Loving Hound Rescue? *

Do you have any questions?

If you have owned any other pets as an adult, please specify below. (Indicate N/A if no other pets owned.) *

Zip/Postal Code *

Secondary Phone Number

If so, what type of fencing does your yard have? *

Phone Number *

Do you have any vacation plans or any plans to go out of town in the next three months? *

Yes

No

Have any of your pets had special needs? *

Yes

No

N/A - I have never owned an animal.

Are you over the Age of 21? *

Yes

No

Age *

How did you learn about Carolina Loving Hound Rescue? *

What type of home do you live in? *

Completed by (your name) *

Was/is this pet spayed or neutered?

Yes

No

What are your goals and expectations for the new dog? *

If no to any of the above, please explain why. (If yes, please indicate N/A.)

Our contract with adopters specifies that the dog will be returned to Carolina Loving Hound Rescue if you can't take care of it for any reason. Will you agree to this requirement? *

Yes

No

Where will the dog stay when he/she is home alone? *

A dog may live for 10-18 years (or even longer). Are you committed to caring for it for that long? *

Yes

No

A home inspection visit is part of our screening process. Are you willing to have a Carolina Loving Hound Rescue volunteer visit in your home? *

Yes

No

Does everyone in your family want to adopt a dog? *

Yes

No

If other, please specify.

Name of Pet #2

How many hours will the dog be without supervision each day? *

How this pet will get along with a new dog? Do you anticipate any problems?

If no to any of the above, please explain why. (If yes, please indicate N/A.) *

Species

We often find that vet records may be in another person's name. What is the name of your Spouse/Significant Other? (Indicate N/A if none) *

Do you currently own or have you ever owned an animal? You do not need to include animals owned as a child. (If "no", please indicate N/A in all required fields.) *

Yes

No

Name of dog you wish to adopt *

Do you have a pool? *

Yes

No

If renting, does your lease allow pets? Please provide your landlord's name, phone number and/or email address. We will be contacting your landlord to verify that pets are allowed on the property. *

How do you know this person? *

Please list the name, full address and phone number (with area code) of your previous veterinarian. *

Do you have a Doggie Door? *

Yes

No

Breed

If you have pool, is it enclosed in a separate fence? *

Yes

No

I do not have a pool

What arrangements will be made for the dog when you travel? *

City *

References *

I understand that CLHR requires at least two personal references. These should NOT be family members, groomers, or veterinarians. They should be pet owners themselves and/or should have some knowledge of how you interact around animals. Please list these references along with phone numbers (include the area codes) and/or email addresses. Please tell your references that a CLHR volunteer will be contacting them. We cannot process your application if your references do not respond to our calls and/or emails.

Are you willing to travel to Greenville, SC to meet your prospective dog? *

Yes

No

How this pet will get along with a new dog? Do you anticipate any problems? *

If you are interested in a specific dog but that dog has already been adopted, would you consider another? *

Yes

No

Place of Employment *

How do you know this person? *

If you are adopting this dog for another person, have you told them? *

Yes

No

Was/is this pet spayed or neutered? *

Yes

No

N/A - I have never owned an animal.

From where did you get this pet? *

Have you applied or adopted from CLHR previously? *

Yes

No

If you have adopted from CLHR, when did the adoption take place / who did you adopt?

Was/is this pet on heartworm and flea/tick medication? *

Yes

No

Reference #1 Name *

Email Address *

Who will be the dog's primary caretaker? *

Are you ready to adopt now? If not, when do you want to bring your new pet home? *

Last Name *

Reference #2 Name *

What age are you interested in adopting? *

Sex

Male

Female

Some rescue dogs may have behavioral problems due to their previous situations. Are you willing to attend obedience and other types of classes in order to train the dog? *

Yes

No

Do you ever leave your dog(s) outside for more than a few minutes without supervision? *

Yes

No

If you have a fenced yard, please describe the height of the fence. *

Would you like to be added to our mailing list? (This will only be used for CLHR information, such as our newsletters and special events. You may unsubscribe at any time.) If you're approved to adopt, you will automatically be added to this list; you can unsubscribe at any time. *

Yes

No

Why do you want a dog? *

Do you own or have you owned any other pets? (If so, please continue to list them below. An additional box is provided for descriptions of a third pet or more.) *

Yes

No

How do you expect your dog to behave in your home? In public? *

Was/is this pet current on vaccinations and other recommended tests?

Yes

No

Please tell us where else you are seeking a pet. *

Where does this pet live and spend most of its time? *

Where does this pet live and spend most of its time?

Veterinarian Phone Number *

Was/is this pet current on vaccinations and other recommended tests? *

Yes

No

Have you ever volunteered with or applied to adopt from a rescue group? *

Yes

No

Date *

Please describe your family and lifestyle. Include the ages of all people living in or visiting the home on a regular basis. *

Sex *

Male

Female

N/A - I have never owned an animal.

If you are gone for more than 6 hours at a time, can you arrange for your dog to have a mid-day potty break? *

Do you have a fenced yard? *

Please describe your typical day. *

CLHR Adoption Application