Hart Animal Rescue - Dog Application

* INDICATES REQUIRED FIELDS

ABOUT YOU

Name(*)

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Street Address

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City(*)

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State(*)

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Zip Code(*)

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Phone Number(*)

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Is it ok to text this number?(*)

YesNo Invalid Input

Email - you will be contacted via email from dogfoster@gmail.com(*)

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Do you want to be on our email distribution?

YesNo Invalid Input

Have you ever owned a dog/puppy?(*)

YesNo Invalid Input

Have you ever relinquished a pet?(*)

YesNo Invalid Input

If yes, why and where?

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ABOUT YOUR PETS

Do you currently have pets?(*)

YesNo Invalid Input

CURRENT PETS ONLY

Number of dogs currently in the household

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Number of cats currently in household

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Please list the following for all dogs and/or cats you currently have:

Name, Age, and Sex

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Dog or cat? If dog what breed

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Spayed/Neutered

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Up to Date on Vaccines? Years Owned?

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PREVIOUS PETS ONLY

Name of Pet and Sex

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Cat or Dog

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What happened to your pet?

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Last year they were with you?

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WE REQUIRE 2 REFERENCES:

Reference #1 Name(*)

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Reference #1 street address(*)

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Reference #1 phone number(*)

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Reference #2 name(*)

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Reference #2 street address(*)

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Reference #2 phone number(*)

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SIGNATURES

I verify that all information listed above is accurate. I understand that HART can deny an application for any reason.(*)

YesNo Invalid Input

Signature of Applicant(*)

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Date of Application(*)

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Please note that HART does not have a shelter or other physical location. All animals in our care are located either in a foster home of one of our volunteers or temporarily at the Adoption Center of one of the PetSmart stores that we coordinate with. Consequently, there may be some delay between submitting your Application and the time that you receive a response from one of our volunteers and can meet the animal of interest, but we will contact you as soon as we can, typically within 24-48 hours.

Once you hit submit a thank you message will come up, you will also receive a thank you email to the email address provided. If you do not receive both of these then your form did not go through (for the thank you email please be sure and check your spam folder if you do not see it).

Dog Application

HART APPLICATION FOR DOGS/PUPPIES

ABOUT YOU

IF YOU RENT

Information

QUICK LINKS

Company

Homeless Animal Rescue Team of Cincinnati