Adoption Application

Thank you so much for your interest in one of our dogs!

Filling out this application does not guarantee that the dog you choose will be available to you. We carefully review each application and place dogs based on a variety of criteria and ultimately, will always act in the best interest of the dog.

    Name of Dog interested in (required)

    Your Name - First and Last (required)

    Your Age

    Your Occupation (required)

    Spouse Name

    Spouse Age

    Spouse Occupation

    Street Address (required)



    Postal Code

    Phone Number (required)

    Email Address (required)

    Why do you want to adopt a dog? (required)

    Which type of dwelling do you live in? (required)


    Do you rent or own?


    Landlords Name

    Landlords Phone Number

    If there is anyone under the age of 18 in the home, please list ages.

    Do all Members of the family agree to adopting a dog? (required)


    Is there anyone in the household who has known allergies to animals? (required)


    Do you have a fully fenced backyard? (required)


    What is the activity level in your household like? (required)

    Calm and QuietSometimes Busy and LouderLouder and Busy

    How many hours will the dog be alone during the day? (required)

    Where will the dog be kept during the day? (Please check all that apply)


    Where will the dog be kept during the night? (Please check all that apply)


    Do you have a preference in the sex of the dog you are adopting?

    MaleFemaleNo Preference

    What size of dog are you willing to adopt? (Please check all that apply)

    Small (5-25 lbs)Medium (25-50 lbs)Large (50-75 lbs)Giant (75+ lbs)

    What age of dog are you willing to adopt? (Please check all that apply)

    Baby (8 weeks to 1 year)Young (1 year to 3 Years)Adult (3 years to 7 years)Senior (7+)

    What energy of dog are you willing to adopt? (Please check all that apply)

    Low: Daily walk 10-20 mins, 2x a dayMedium: Daily walk/other stimulation, 10-20 mins, 2x dayHigh: Daily walks, hikes, biking, etc. 20-30 mins, 2-3x day

    What type of exercise will the dog be given daily? (required)

    Are you prepared to deal with potential dog behaviours like marking, digging holes in your yard, destroying a shoe, barking, etc? (required)


    Please mark the behaviours you would NOT be willing to deal with. (Please check all that apply)

    Marking in the house/ House trainingPrey driveLeash trainingDestruction of house items such as shoesCrate trainingReactive to other dogsFood or resource guardingExcessive barkingMedical issuesI would be willing to work on any issues

    Under what circumstances, other than the above, would cause you to rehome or return a dog? (required)

    Have you had any experience with an emotionally or physically neglected or abused dog? (required)


    Please list names and give details of all pets you have living or deceased.

    Please list the follow about each pet:
    -Type of pet
    -Altered (Yes or No)
    -Up to date with shots (yes or No)
    -Living or Deceased (If passed, why)

    We require 3 references.
    2 Personal:
    -NOT family members
    -Name, phone number, relation to you, and how long they have known you.

    1 MUST be your current or past VET
    -Name, phone number, location (required)

    Do you agree to a home visit (by appointment)?


    Do you agree and understand that there is a non-refundable fee when adopting?

    BY SIGNING THIS DOCUMENT, I hereby give permission for my Veterinarian to release information to New Hope Dog Rescue on any pets that I have owned, living or deceased and CERTIFY and UNDERSTAND THE FOLLOWING:

    1) New Hope Dog Rescue reserves the right to refuse the adoption of a dog to any applicant.

    2) Any misrepresentation of fact may result in the applicant not being approved to adopt a dog from New Hope Dog Rescue.

    3) All information I have given on this form is true and correct.

    4) Any dog adopted from New Hope Dog Rescue is to be an indoor dog and treated as a member of your family. (required)


    Is there anything else you would like us to know?

    Dogs Name of interest and Electronic Signature