Online Adoption Application

Meet Our Dogs • Online Adoption Application • About Rehoming • HDF Adopters Pledge

This is the online version of the Adoption Application. You MUST fill in all information (including Home Phone) and answer all questions. Failure to do so will result in a delay of the review process or denial of the application.

Today's Date:

Date you can take in a dog:

Name: Age:

Address:
City: State: Zip:

Home Phone: Work/Mobile Phone:
Email:

If you're interested in a particular dog, please enter it's name or description:

If no particular dog, please specify your preferences:

Gender: Male Female

Age: Under 1 year 1-3 years 4-6 years Over 6 years

Size: Small dog (< 15 pounds) Medium (15-30 pounds) Large (more than 30 pounds)

Specific Breed (optional):

Your current housing situation:

Do you live in a: Single-Family House Apartment / Townhouse / Condo

Do you: Own your home Rent your home

If you rent, what does your rental policy say about having pets?

Do you have a yard? Yes No

Is there a fence around the yard? Yes No

Do you have a pool? Yes No

If yes, is it fenced? Yes No

Where will the dog live? In the home In the yard Other:
Where will the dog sleep?
How many hours per day will the dog be left alone? Monday - Friday Saturday - Sunday

How long have you lived on the island of Oahu? Years Months
Do you plan to move in the near future? Yes No
If yes, describe where and what you expect your new housing situation to be:

Do you plan to move off the island of Oahu in the future? Yes No
What will you do with your pets if you move off the island?

Do you own any other pets? Yes   No
If yes, what type and how many?   Dogs    Cats    Other
Please describe your pets (age, breed, gender, how long you have owned them, whether altered, etc.)

Do you have young children?   Yes   No    Do they live with you?   Yes   No
If you have children living with you, what are their ages?
Have you owned a dog before?   Yes   No
If yes, please list all the dogs you have owned, their breeds, how long you owned them and where they are now?

Adoption Information

Any dog being adopted from HDF must be spayed or neutered before the adoption is complete.

We ask for a $150 donation for an adult dog; $200 for puppies.

After an adoption application is received, HDF will review the form and a representative will call you if there are further questions. A home visit is part of the adoption process.

Anyone adopting a dog from HDF must sign a waiver releasing HDF from responsibility if the dog causes harm to anyone or anything.

HDF will do follow-up calls or visits to insure everyone is happy with the new dog and that the dog is also content with its new home. These will be at the following intervals: 1 week, 3 months, 6 months and 1 year.

You must agree to treat the dog with love and respect, care for all its needs, including annual visits to the veterinarian, and to NEVER intentionally cause any harm to the dog. You must provide proof of veterinarian care upon request at any time.

You must agree to have the dog micro chipped and to keep a dog tag on the dog at all times. Registration, microchip, and dog tags must be placed in your name.

If, for any reason, you are not happy with your newly adopted dog, call HDF and we will arrange to take the dog back. We cannot, however, refund the adoption donation.

You must adhere at all times to your housing regulations, lease, or landlord requirements. This includes paying any fees associated with registration of your dog for housing, landlord, etc.

You must notify us in writing if you have a change of address, or phone number.

The HDF tag is to remain on the dog for life.

Briefly describe any situation that would require you to give up a dog (i.e.: new baby, financial situation, etc.):

If you find that you can no longer care for a dog, what would you do with it?

What would you do if the dog barks excessively?

What would you do if you could not control the dog?

Are you willing to pay for obedience training?   Yes   No
If you currently own a dog, has that dog been through training?   Yes    No
Is your dog up-to-date on shots/physical exams? Yes   No
Which veterinarian do you use?
Are you familiar with the prevalence of Heartworm disease in Hawaii?   Yes   No
Are you willing to keep the dog on a monthly Heartworm preventative?   Yes   No
Have you or anyone living in your home (spouse, other family members, boarders, renters) ever been accused or cited for neglect or abuse of any animal or animal cruelty? Yes   No

By submitting this application you certify that all the responses given are true to the best of your knowledge.

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