Adoption Application

* Indicates required field

APPLICANT NAME: *

Email Address: *

Telephone Number: *

Applicant Occupation: *

Street Address: *

Line 1

Line 2

City

State

Zip Code

Country

Applicant Age: *

Spouse/Co-Applicant Occupation:Spouse/Co-Applicant Age: *

Please list the names and ages of others who live in your home, whether full time or part time: *

What is your living arrangement? *

Own Rent Live with family or friends

What type of home do you live in? *

Single family home Apartment/Townhouse/Condo Mobile Home Duplex/Multiple family home/Duplex

What kind of yard do you have? *

If you did not answer “securely fenced” above, please tell us your plan for providing safe exercise and potty breaks for your dog. *

How many hours per day will your dog be left alone? *

Where will your dog stay while you are away from home *

In a crate Free roam of the house In a restricted, gated area In a dog house or other outside area

Where will your dog sleep? *

In my bed In a pet bed (inside) In a restricted, gated area In a dog house or other outside area

What is your pet ownership experience? *

I currently have pets dogs or cats I currently have other types of pets (birds, fish, reptiles, etc) I do not currently have pets, but have had pets in the past five years I have had pets, but not in the past five years I have never had pets

Please tell us about your current pets:

Current Pet 1 – Name and Age: *

Pet 1 is *

Dog Cat Other

Pet 1 is *

Male Female

Pet 1 is spayed or neutered? *

Yes No

How long have you had Pet 1? *

Is this an indoor or outdoor pet? *

Indoor Outdoor Indoor/Outdoor

Current Pet 2 – Name and Age: *

Pet 2 is *

Dog Cat Other

Pet 2 is *

Male Female

Pet 2 is spayed or neutered? *

Yes No

Is this an indoor or outdoor pet? *

Indoor Outdoor Indoor/Outdoor

How long have you had Pet 2? *

Current Pet 3 – Name and Age: *

Pet 3 is *

Dog Cat Other

Pet 3 is *

Male Female

Pet 3 is spayed or neutered? *

Yes No

How long have you had Pet 3? *

Is this an indoor or outdoor pet? *

Indoor Outdoor Indoor/Outdoor

If you currently have more than 3 pets, please provide their names, ages, breeds, length of time owned, whether spayed/neutered and whether they are indoors or outdoors in the space below: *

If any of your dogs or cats are not spayed or neutered, please explain why in the space below. *

Check all that apply: *

Had a pet euthanized (“put to sleep”) Lost a pet to an accident Had a pet that ran away or was lost or stolen Given a pet away Taken a pet to shelter or surrendered to a rescue None of the above

For all the pets that you have owned in the past seven years which you no longer own, list the pet type (dog/cat), breed, age & detailed explanation of why you no longer own this pet. *

What age dog will you consider? *

What activity level best fits your home? *

Energizer Bunny Active Calm, but sometimes playful Couch potato

Do you have a preference as to the sex of the dog you adopt? *

I prefer a female I prefer a male It doesn’t matter

Are you willing to adopt a mix? *

Yes No

Are you willing to adopt a pair of dogs? *

Yes No

Are there any dogs you have seen on our website that you may be interested in? Please be aware that consideration for your choices is given when possible, but we cannot guarantee you will be considered for the dog of your choice. *

What steps will you take if your new dog has trouble getting along with current pets or family members? *

What will you do with your dog if your life situation changes? (i.e., a new baby, move to a new home, change in work schedule, etc) Please be specific. *

How do you plan to train and discipline your dog? *

When introducing a new pet into your home, there is almost always an adjustment period. How do you plan to introduce and acclimate your new dog into your home? *

Does anyone in your home have allergies to pet dander that cannot be controlled by medication? *

Yes No

Dogs are prone to various health issues, which can cause substantial veterinary costs. Are you financially able and willing to provide all necessary routine and emergency veterinary care for your dog? *

No, I cannot afford expensive vet bills I can handle the bills (shots, heartworm preventative, etc), but I cannot afford emergency or critical care Yes, I am able to provide routine and emergency or critical vet care for my pet.

It can take anywhere from a few weeks to a year or more to find the right match. Are you willing to wait for the right match? *

In this section, please provide us with the name and contact information for your veterinarian and two personal references. Personal references cannot be related to you or live in your home. If you have not used a vet in the past seven years, we do require an additional personal reference in place of a vet reference

Please provide the name of your current (or most recent) vet used (or additional personal reference if you have not used a vet in the past 7 years): *

Vet’s Phone Number: *

How long have you used this vet? *

Name of Personal Reference #1: *

Phone Number for Personal Reference #1: *

How do you know this person? *

Name of Personal Reference #2: *

Phone Number for Personal Reference #2: *

How do you know this person? *

Have you applied for any other dogs through other organizations at this time? *

Yes No

Have you made a donation to our rescue? *

Yes No

Are all members of the household in agreement that adopting is an appropriate decision at this time? *

Yes No

HOW DID YOU HEAR ABOUT HILL HOUNDS/CELEBRATING PUGS? *

Please tell us anything else you would like us to know in considering your application: *

By clicking accept, you certify that the information you provided is true, complete, and accurate to the best of your knowledge. *

​Adoption Application

Adoption Application