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Hooks Home Bound Rescue inc
(a 501(c)(3) non-profit approved organization)

Home
Adopt Me Today
Contact Us and Get Forms
- Contact us by department
About Us
Donations
- Hooks Store
- Sponsors

Home
Adopt Me Today
Contact Us and Get Forms
- Contact us by department
About Us
Donations
- Hooks Store
- Sponsors

Welcome to Hooks Home Bound Rescue!

Dear Applicant,

We are glad you could join us in saving lives! We at Hooks Home Bound Rescue are here to save man and mans’ best friends in Southern California. In doing this, we push for tow truck driver safety and safety and proper ownership of all our pets.

We are thankful you wish to be a hero and open your heart and home to help one or more of our lovely pets. Without you, lives could not be saved! Being a new parent, you open the door to a forever home for our lovely pets.

The attached document, your adoption application, would need to be completed in its entirety. With the completion and receipt of your application, we can process your availability to be a new parent for any of our pets. When completed please click submit at the bottom of the page and the system will send your application to us.

When approved, via your application, a representative will be in contact with you for an interview to arrange a home check. This home check is to ensure the atmosphere, home, and yard are proper for the perspective pet.

Thank you for opening your home and heart and being a hero today!

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Adoption Application Form

Adoption Application

I understand this application maybe only be used for adopting from Hooks Home Bound Rescue unless I give my written permission to forward this application to any other organization.

Animal name you are interested in adopting

Personal information*

Name (First middle Last suffix)

Address: street, city, state, zip*

Birthday (month/day/year) *

Phone Number*

Email address*

Drivers License Number (number/state/expiration) *

Family members

Are you married?

Name of significant other:

Id number state issued and expiration for Significant Other*

Please list the names and ages of all children in the home or who visit regularly*

Availability of those in household*

Employment

Name of Company

Company address (Street/ city/ state/ zip)*

Suporvisors name*

Phone number

Medical-We do understand that some applicants may have disabilities that may disqualify them for some pets. It is our goal that we place appropriate pets with appropriate family members. We also do not discriminate based on disability.

This area is to assist us in placing an appropriate animal in your home based on your Family medical needs.

Have you had a tetanus or tetanus booster shot in the last five (5) years?*

Please list any allergies or physical, medical (including pregnancy), psychological limitations or disabilities that might hinder you or any member of your family from safely caring for a pet!*

Background

Have you ever adopted an animal from any other organization before?

Do you understand that every organization has their own policies and procedures for adopting out an animal. We pride ourselves in finding the best pets for the best homes. our policies and procedures ensures we find the best qualified homes for our pets.

Have you been charged, or convicted of any felony or misdemeanor within the last seven (7) years?*

Have you been charged, or convicted of a felony or misdemeanor associated with Animal Abuse or Neglect within the last seven (7) years?*

Have you ever been charged or convicted of any violent crime?*

References

1st Reference Name (Vet preferred)

1st reference address (street/city/state/zip)

Phone (xxx-xxx-xxxx)*

Comments- names of your pets seen by this vet

2nd Reference Name (family member who lives outside of the home)*

2nd reference address (street/city/state/zip)

2nd Reference Phone (xxx-xxx-xxxx)*

Home Information

How long have you lived at this address ?

Which best describes your home?*

Is your home rented?*

If rented please list your landlord and contact information (phone / address)

Do you have home owners/renters insurance?*

Insurance Company

What type of fencing (containment) do you have*

Height of fencing:

Containment coverage area*

Pets in home*

Are there any animals currently in the household?

List all animals that are currently in your home:

Have all the animals in the household been vaccinated against rabies?*

Have your dog(s) been vaccinated against Parvo?*

Does your indoor/outdoor animal get monthly flea medications?

Does you animal(s) get monthly heartworm medications?

Has each of your animals been permanently sterilized(neutered, spayed, zeutered)?

Have all your animals been micro-chipped?

Is everyone in your household in agreement about adopting?*

Availability

What hours is someone usually at home?*

What provisions for the animal(s) will be made when no one is home?*

Vehicle information*

Vehicle 1 (year make model and color)

Plate (tag) and state issued

Insurance Company

2nd vehicle (year/make/model/color)

Plate (tag) and state issued*

Insurance Company*

Informational

How did you hear out about Hooks Home Bound Rescue Inc

Have you ever transported an animal before?*

Have you ever owned or cared for a difficult/senior animal?

Why do you want to adopt an animal?*

What size animal are you looking for?

smallmediumlarge

What Sex would you like in your new animal?

Are you willing to go to events, meetings, training classes for your new animal?

Are you aware that many cities have laws forbidding certain breeds of animals and/or restrictions for certain breeds of animals?

Do you know if your city has any of these laws forbidding certain breeds and/or restricting certain breeds?

Do you understand what is abuse when it comes to abuse to animals?

Will you care for this animal as if it was a family member?

Will you allow this animal you wish to adopt full access to your home?

Will this animal sleep:

InsideOutside

Do you understand that this animal may have special needs that may not be noticed inside the rescue?

How Did you Hear about Hooks Home Bound Rescue?

Do you have anything you want to add to this application?*

Statement of facts*

By checking I certify that the information I have supplied above is true and correct to the best of my knowledge. I also agree that any false statements may result in nullifying this application. I further understand that this application is the property of Hooks Home Bound Rescue Inc and will be retained by them. I also agree to contact a representative of Hooks Home Bound Rescue immediately to return any equipment or animal that I may in my care should I need to relinquish any item at any time!*

I agreeI disagree

I permit Hooks Home Bound Rescue Volunteers or staff to contact any and all persons or companies listed above at any time after filing this application! *

I agreeI disagree

I understand this application is property of Hooks Home Bound Rescue and will be retained by them.*

yesno

I agree that by signing I certify that the information provided is true and that any false statement may result in denial of my application!*

yesno

I give full permission for the individuals/company's listed above to release all clasified information about me, my policies or any other information on my behalf.*

i agreei disagree

I give Hooks Home Bound Rescue complete right to run a full intense background check on me to ensure the safety and care of the animal i wish to adopt!*

i agreei disagree

I agree by checking this box Hooks Home Bound Rescue can take the following printed name as my electronic signature and use this signature for any and all legal matters!*

I agreeI disagree

Signature

Would you like to join us in our Monthly Newsletter?*

NoYes (you will receive a confirmation email to have you sign up and verify your acceptance of our monthly email newsletter)

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Thank you for your application! Your application ia being reviewed by our staff! We hope we can make a hero out of you! Remember Slow Down Move Over Rescue at Work!

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Disclaimer

The following application may be updated, and or changed, at any time. Applying does not guarantee approval to be an adoptive parent with us. The following document can, and will, be used as a part of the processing of the Hooks Home Bound Rescue Adoption Program.

When applying, you, as the applicant, are responsible for all answers provided. Each document can, and will, be used for any, and all, legal matters. Hooks Home Bound Rescue Inc reserves the right to refuse any, and all applications, for any reason at any time.

Hooks Home Bound Rescue does not discriminate against any race, sex, religion, national origin, physical disability, age, or sexual orientation. As an adopting parent, you may be responsible for transport, training, housing, feeding, bathing, grooming, walking, and socializing, or any other requested item for your adopted pet.

Other items you may be responsible for include: networking, taking photos of, and advising Hooks Home Bound Rescue of any updates, changes, and medical issues.

By submitting your application, you agree to any, and all interviews, formal, or informal, opening your home, at any time, to the staff or volunteers of Hooks Home Bound Rescue, without hesitation or denial.

You also agree that, at any time, for any reason, disclosed to you, or not, Hooks Home Bound Rescue may have the animal removed from your home, and your services terminated.

If at any time, Hooks Home Bound Rescue must pursue legal charges of animal neglect, animal theft, or animal abuse, against you, the applicant, will be responsible for all legal fees, and court costs, plus a fee of no less than $2,500.00 (Two Thousand Five Hundred Dollars) for return of the animal.