Dog Adoption Application

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ACTION 4 ANIMALS HAWAII

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First name

Last name

Phone

Physical Address

Dog's Name

Do you:

Rent my home and have permission from my landlord to have pets

Own my home

What type of home do you have?

Home

Condo

Farm

Other

What other animals are in your home? List type of animal, age, and if spay/neutered, indoor/outdoor

Other family members in your home. List ages for children.

Decribe the kind of life this dog will have with you:

Where will the dog sleep?

How will you keep this dog from leaving your home?

AGREEMENTS

I agree to a home visit before and after the adoption, if requested.

I understand that the first 3 weeks of this adoption is a fostering situation to allow us and our new dog to see if it is a good fit. If it is not a good fit, we will return the dog and we will be reimbursed the $125 adoption fee.

If this adoption does not work out after the 3-week fostering period, I will return the dog to Action 4 Animals Hawaii but will likely forfeit the adoption fee.

I agree to treat my new dog as a family member, to feed the dog nutritious food, and to give my dog daily exercise.

I will not crop the dog's ears or dock the dog's tail.

I hold Action 4 Animals Hawaii free and harmless from all liability related to this adoption.

Type your name as signature

Thanks for considering becoming a foster parent!
We'll get back to you soon.

Action 4 Animals Hawaii is a 501c(3).

EIN 88-3038470 • P.O. Box 873, Volcano, HI 96785

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Dog Adoption Application

Thanks for considering becoming a foster parent! We'll get back to you soon.

Thanks for considering becoming a foster parent!
We'll get back to you soon.