Please enable JavaScript in your browser to complete this form. Date / TimeDateTimeShelter Hope was greatly affected by The Borderline and have added a question to our application. We will be in partnership with our adopters for the life of the pet. We want to work with like-minded humans but if you don’t feel comfortable expressing your feelings on the subject we understand. How do you feel about gun control?ABOUT YOU AND YOUR PETSName *FirstLastEmail *PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeName of Dog that you are interested in? *Have you adopted from Shelter Hope Pet Shop (Thousand Oaks) before?YesNoWhy are you interested in adopting a pet?Is this your first pet? YesNoDo you currently have any pets?YesNoIs this your first dog?YesNoIf yes, what pets do you currently have (dogs/cats/other) and how old are they? If yes, are they spayed/neutered?YesNoAre their vaccinations up to date? YesNoWhat happened to your pet(s) if no longer with you?Have you ever had to relinquish a pet?: YesNoHave you ever taken a pet to obedience training? YesNoIf yes, why? What type of training methods do you use? How will you exercise your pet? Are you prepared to take responsibility for your new pet for the next 10 – 15 years? YesNoAre you prepared to cover these costs for the duration of the pet’s life? YesNoAre you aware that after the initial investment a pet can cost $1000+/year? YesNoWhat provisions will be made if you can no longer care for your pet? Do you have a regular veterinarian?YesNoIf yes, may we contact them? YesNoVet’s Name and Phone NumberABOUT YOUR HOUSEHOLDDo youOwnRentIf you rent may we contact your landlord? YesNoIf you are renters, what type of dwelling do you live in?Landlord’s Name and Phone NumberHow many people live in your household? (Adults)1 - 23 - 45 - 67 or moreIs anyone allergic to animals? YesNoHow many hours a day will your pet be left alone? How many people live in your household? (Children)1 - 23 - 45 - 67 or moreAnyone home during the day?YesNoWhere will your pet spend time when it is alone? If you are away for more than 8 hours or go on vacation who will take care of your pet?Do you have a yard or a patio? YesNoWhat type of fence? Is there a secure gate?YesNoDo you have a pool? YesNoDo you agree to a home check by one of our staff members? YesNoIs the area enclosed with a fence?YesNoHeight: Do you have a dog door? YesNoIs the pool enclosed with a fence? YesNoFile Upload Click or drag a file to this area to upload. We require a copy of current, valid driver’s license or other photo ID before beginning the adoption process.SHELTER HOPE RESERVES THE RIGHT TO DENY ADOPTION TO ANYONE FOR ANY REASON.Submit
