Please answer all relevant questions completely. Incomplete applications will not be processed. Questions with an asterisk are required. If your application is accepted we will get back to you as soon as possible. Thank you!
Are you at least 21 years old?
If you rent, please list any breed/weight restrictions?
We do verify.
Please note we do not adopt out bully breed dogs into rentals.
If you rent, please give landlord name & phone #
Do you have a fenced yard with walls at least 6 ft?
Name of dog/cat you are interested in adopting?*
Are there other pets in the home?
Please list any current pets (breeds and ages)
Are current dogs/cats spayed/neutered?
Are current dogs/cats up to date on vaccinations?
Please give current vet name & phone #
Are there any children living in the home?
Please give ages of any children living in the home
Please give a brief descriptions of why this animal would be a good fit for you and breed experience.
Please check that you have read and agree to the following: I agree to indemnify and hold harmless Animal Help Alliance (AHA), its employees, agents, and representatives, from any and all liability arising out of or in consequence of, any injury sustained while handling any animal connected with AHA while volunteering, fostering, or adopting. I further attest that I have truthfully answered all questions in this application to the best of my ability.
Animal Help Alliance is a proud recipient of funding from the
Dave and Cheryl Duffield Foundation.