Adoption Application - Handover Rover

Name

FirstLast

Address

Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry

Phone

Email

Name of the Dog you want to adopt:

Do you rent or own your home?*

Rent
Own

Do you have an HOA?

yes
no

If yes, what is the limit of how many animals you may have?

If you rent, please attach a copy of your lease agreement stating you can have dogs.

Do you currently have dogs?

yes
no

If yes, how many

Please list breeds and genders

Do you have any other animals other than dog(s)?

yes
no

Please list species and gender

Are there children in your home?

Yes
No

If yes, how many and what ages?

Are your dog(s) licensed?

Yes
No

Are they current on vaccinations:

Rabies
Boosters
No

Please check any diseases your household pets have had:

Parvo
Distemper
Feline Leukemia
Other

If yes to any, please list when

What do you prefer to adopt?

Small Adult Dog
Medium Adult Dog
Large Adult Dog
Puppy

Are you willing to adopt an animal that needs training?

Yes
No

Are you willing to adopt an animal with medical issues?

Yes
No

Are you willing to adopt an animal that requires medication?

Yes
No

If yes, please list your prior experience administering medications:

Where will your adopted animal(s) be housed?

How many hours a day will your adopted animal be left alone?

What enrichment activities will your adopted animal(s) receive?

Providing adequate food, water, shelter, safe containment, and humane treatment for the animal (s) at all times.

Providing medication and veterinary care when needed.

Monitoring the animal (s) and providing proper care and socialization.

Notifying Handover Rover within 24 hours of any major change in the adopted animal’s health or if the animal becomes lost.

Immediately notifying Handover Rover if an animal becomes lost.

Please check each box ensuring that you have read and comply:*

Handover Rover reserves the exclusive right to determine the proper course of action to take upon notification by the adopting parent of any inability to comply with this agreement.
I understand that all adopted animal(s) must be scheduled for needed medical treatment (vaccinations, microchip, testing, etc)
I will respect Handover Rover's decision to determine whether a potential parent can adopt a foster animal.
I understand I am NOT allowed to adopt out the animal after it is in my care. If I become unable to care for the animal, under no circumstan am I at liberty to find another owner(without the approval of Handover Rover) The adopted dog is required to be returned to Handover Rover.
I am committed to keeping in contact with Handover Rover and updating them on my adopted dog's well being every 3 months.

I will agree to vaccinate my own animals against the following diseases before adopting:*

Canines are immunized against Canine Distemper, Canine Parvovirus, Parainfluenza, Hepatitis (4 in 1 booster); Bordetella (kennel cough); Rabies; and are free of parasites.
Felines are immunized against Feline Panleukopenia, Rhinotrach eitis, Calicivirus (3 in 1 booster); Feline Leukemia; and are free of parasites.

Indemnity(all boxes MUST be checked)*

I agree to release, discharge, indemnify and hold harmless Handover Rover, including its agents and employees, for any personal injuries or damages to property or pets caused by the foster animal(s).
I recognize that in handling adopted animal(s) there exists a risk of injury including physical harm caused by an adopted animal. On behalf of myself, my heirs, personal representatives and executors, I release, discharge, indemnify and hold harmless Handover Rover, its agents, volunteers, and employees from any and all claims, causes of action or demands, or any nature of cause connected with my adopted dog agreement.

I, ________________________________________, hereafter referred to as the Adopter, am at least 18 years of age, and hereby agree that the above described animal is being adopted by me solely as a pet for myself and/or my immediate family. I agree that I will not sell, give away or otherwise dispose of said animal to any person(s), dealer, retailer, auction, institute or any other entity for any reason. ❌Notwithstanding anything to the contrary herein, if I am currently an owner and/or member of another recognized shelter, I may re-home said animal after conducting the proper home checks, background checks and due diligence on any potential third party adopter. If at a later date I am unable or unwilling to keep this pet, I agree to first contact Handover Rover and give them the option to reclaim said pet at no charge. ❌

I have received, read and understand the Adopted Care Guidelines provided by Handover Rover Dog Rescue.

IF APPROVED, YOU WILL BE EMAILED A COPY THAT YOU MUST DIGITALLY SIGN

Name

_______________________________

Signature

_______________________________

Date

____/____/______

© Handover Rover Adoption Application and Agreement Revised May 2016