Adoptions

We are here to help you along your exciting journey of adding a new furry friend to your life.

Dog/Puppy Adoption Application

All fields are required unless otherwise noted.

Dog(s) of Interest: Your First and Last Name: Significant Other's First and Last Name:(optional) Your e-mail address: Your Home Address: City: State: Zip Code: Home Phone: Cell Phone: Work Phone: Your Occupation: Your Employer: Hours You Work Per Week: Name of Current Veterinarian: Current Veterinarian's Phone: How long have you lived in Arizona: How long have you lived at your current residence: Do you live in:

A House	A Condominium
An Apartment	A Mobile Home

Do you own or rent your home:

Own

Rent

Landlord/Apartment Complex Name:(required if you rent) Landlord/Apartment Complex Phone Number:(required if you rent) If you rent, have you paid the pet deposit:(required if you rent)

Yes

Not Applicable

If you are a renter, does your rental agency/landlord have restrictions on dogs:(required if you rent)

Yes

If yes, what are the restrictions:(required if you rent) Are you planning to move soon:

Yes

Age Preference for Dog - check all that apply: Gender Preference for Dog:

Male

Female

No Preference

What physical characteristics do you want your dog to have: Coat Length:

Short	Medium
Long	No Preference

Size:

Small (under 25 pounds)	Medium (25-40 pounds)
Large (40 pounds or more)	No Preference

Color and other characteristics: What personality traits do you want your new dog to have - check all that apply:

High Activity	Medium Activity
Low Activity	No Preference

You want your new dog to do the following with you/your family - check all that apply: Describe other desired activities:(required if you selected other) You want your new dog to be - check all that apply: Describe other desired qualities:(required if you selected other) What do you want your dog to be:

Indoor

Outdoor

Both

If you selected "Both" please choose how much time the dog will spend outside:

25%

50%

75%

Have you adopted a HALO Rescue Animal before:

Yes

If yes, who and what type of animal did you adopt:(required if you selected yes) Have you had animals before:

Yes

What type of animal(s):(required if you selected yes)

Cat

Dog

What happened to your animal(s):(required if you selected yes) List the pets you CURRENTLY have (if none, type "N/A"). If there are more than three, that's OK with us, just use the "Additional Comments" space at the end of this questionnaire to list any other pets:

Pet Spayed/ Pet Neutered?	Sex	Vaccinated?
Yes No	Male Female	Yes No
Yes No	Male Female	Yes No
Yes No	Male Female	Yes No

List the pets that you DO NOT HAVE, but lived with you within the last 5 years (if none, type "N/A"). If there are more than three, that's OK with us, just use the space at the end of this questionnaire to list any additional pets:

Pet Name	Pet Species	What Happened to the Pet?

Does your home have a pet door to the outside:

Yes

Plan to get one

Is your yard fenced:

Yes

What type of fence:(required if applicable)

Block	Wood
Chain Link	Other

How tall is the fence:(required if applicable) Does your home have a pool:

Yes

Is your pool fenced:(required if applicable)

Yes

How many children live in your home and what are their ages: How many adults live in your home: Is anyone in your home allergic to cats and/or dogs:

Yes

How often do children visit your home:

Daily	Weekly
Monthly	Never

Is this animal a gift:

Yes

How many hours per day will your dog be unattended while your family is at work/school: Where will your pet be while you are away:

Indoor

Outdoor

Other

If "Other," explain where:(required if you selected other) Where will the dog stay at night: Your family's activity level is:

Very Active

Moderately Active

Not Very Active

When you are out of town, you plan to: If you had to move, you would:

Move with animal

Find another home for animal

Surrender animal

Are you familiar with crate training:

Yes

Will you crate train:

Yes

What would cause you to return this pet - check all that apply: Please check the reason(s) why you want to adopt a pet at this point in your life:

Want a companion	Show Dog
Playmate for child(ren)	Playmate for pet(s)

How did you hear about HALO:(optional) Additional Comments:(optional)

You agree to allow us to visit your home by appointment as part of our application process

I understand by submitting this application, my information may be shared with other animal welfare organizations and rescue individuals in an attempt to accommodate my needs if HALO Animal Rescue is unable to do so

All of the information I/we provided in this application is true and correct. I understand that submission of an application does not guarantee I will be selected to adopt this animal

Under 6 months	0-1 year
1-2 years	2-4 years
4-6 years	6 or more years
No preference

Hike	Relax in the evening
Travel	Fly
Jog	Play with kids
Camp	Boating
Bicycle	Play Ball (Catch)
Swim	Other

Companion	Protective
Obedient	Performer (agility)
Service	Other

Take dog with you	Leave dog with family/friends	Hire a pet-sitter
Board Dog	Leave dog at home alone

Allergies	Moving
Change in Marital Status	Health Issues
New Baby	Destructive Behavior
Aggressiveness	Not Compatible With Other Pet
Does Not Play Ball (catch)	Vet Bills
Housetraining	Job Change
Kids Not Taking Care Of Pet	None