Adoption Application

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Adoption Application
Please fill out application as complete as possible. All incomplete Applications will not be evaluated.
Please DO NOT fill out this Application if you are not seriously interested in adopting a dog. You MUST be 18 years or older to adopt a dog. Thank you for your consideration.

Full Name *

Email *

Home Phone *

Alternate (Cell) Phone

Street Address *

City *

State *

Zip Code *

What are you major cross streets? *

What age of dog are you looking to adopt?

What color do you prefer?



What Gender are you looking for?



Would you consider an Australian Cattle Dog mix or other Herding type dog? *



Is anyone in your household allergic to dogs? *


How many Adults live in the home? *

How many children live in the home? *

What are their ages?

Has everyone in the home agreed to add a dog to the family? *


If you answered No above, then please explain why?

Do you currently have pets? *


If you answered yes above, please list the (1)Name, (2) Sex, (3) Age and (4) Breed of every pet in your household.

Are your pets all current on their vaccinations? *


Are your pets altered (spayed or neutered)? *


If your pets are not altered or not up-to-date on vaccines, please explain why:

Do you have a Dog Door? *


If you don't have a dog door, would you consider installing one?


If you answered No above, please explain why.

Do you have a Pool? *


If you have a pool, is it fenced?


Do you Own your Home? *


If you do not own your home, can you provide us with a letter from your landlord saying dogs are allowed at the residence?


What type of Residence do you live in? *

Is the back yard fenced? *


What type of fencing, how tall and is it fully contained? (Example: Chain Link, 6') *

Would you consider adopting a special needs dog? *


What types of Special Needs are you willing to consider for adoption (please check all that apply)?













How long will your new dog be left alone during a typical day? *







Where will your new dog be kept while you are away? *

Where will your new dog sleep? *

Are you familiar with Crate Training? *



Are you willing to have a New Hope Cattle Dog representative/volunteer visit your home before adoption? *


If you answered No to having someone visit your home, please explain why not:

Are you willing to take your new dog to Obedience Classes? *


If opposed to taking your dog to Obedience Class, please explain:

Why do you want a Cattle Dog? *

Have you ever owned a Cattle Dog or Cattle Dog mix? *

If you have owned a Cattle Dog or Cattle Dog mix, where are they now?

If you have never owned a Cattle Dog or even if you have, please relate your experiences with the breed: *

What Research have you done on this breed (please check all that apply)? *










Please describe what a typical day in the life of your new dog:

Who is your current Veterinarian (please include Vet Name, Clinic Name, Address and Phone number)? *

Can we contact your Veterinarian for a Reference? *


What type of Cattle Dog are you looking for (please check all that apply)? *











What kind of activities do you and your family participate in regularly that the new dog would be involved in (please check all that apply)? *















How would you rate your family’s overall activity level? *






How do you plan on transporting your dog in your vehicle (please check all that apply)? *







What do you plan to do with your dog in the event of a Divorce? *

What would you do with your pets if you had a family member or significant other that became allergic to pets? *

What would you do with your pets if you or your spouse had a Job Transfer to a different state? *

What would you do if unemployment or a financial difficulty arose that forces you to move into smaller home or apartment? *

What would you do if the new dog is destructive in your home or yard? *

What would you do if your neighbors complained that your dog barks excessively in the backyard or house? *

What would you do if your dog needed emergency surgery or care over $1000? *

What would you do if your dog needed Hospice Home or Long term care (i.e. help going to the bathroom, help eating, IV Fluids, Injections, etc.)? *

What would you do if your dog bites someone? *

What would you do if your new dog bites you, your child or family member? *

What would you do if your new dog fights with other pets in your home or new pets brought into your home? *

Have you ever had to relinquish a pet (i.e. take to the pound, give to family/friends)? *


If you answered Yes above, please explain the circumstances:

Have you ever been involved in breeding dogs? *


If you answered Yes above, please explain:

What are the specific names of the Dog (s) from our website that you are interested in? (please list all). *

Please provide us with 3 References that can vouch for you as a dog owner. If you type in an email address, this form will be sent to your reference.
Reference 1-Name: *

Reference 1-Email address:

Reference 1-Phone Number: *

Reference 2-Name: *

Reference 2-Email address:

Reference 2-Phone number: *

Reference 3-Name: *

Reference 3-Email address:

Reference 3-Phone number: *

Please tell us what days and times work best to schedule a home check: *

Which New Hope Cattle Dogs rescue branch are you applying for? *



Please tell us how you were referred to us: *




















If your referrer was not listed above, please tell us here:

Are you working with other rescue groups, breeders, or private party to find a dog? *


If you are working with another rescue group or shelter, please list their names here.

How soon are you looking to adopt? *





Additional Comments

Please type in the code that you see to the left.  You will not be able to submit the form without it and will get an error code.

By pressing the submit button below, I am agreeing to the following statements:
  • I have answered the questions truthfully and to the best of my ability.
  • I understand that if I adopt a dog, I am making a commitment to providing veterinarian care, a premium dog food, life indoors with the family, training and socialization for whatever dog I adopt for their entire LIFETIME and if I cannot do this, I will return this dog to the care of New Hope Cattle Dogs.
  • I am 18 years or older and I am at a place in my life where I have the time and the money to make a commitment to my adopted dog's health, socialization and training needs.
  • I understand that the Australian Cattle Dog/Heeler is a very active breed that requires continuous training, leadership and socialization, as well as plenty of exercise both mentally and physically and I will provide that for whatever dog I adopt.
  • I understand that no Australian Cattle Dog/Heeler is fool proof with cats or kids because of their intensity, prey drive, mouthiness and activity level.
  • I have done research on the breed and/or have previously owned the breed and I feel that this breed of dog would be a good fit for me and my family.
  • I agree to let a representative of New Hope Cattle Dogs choose the dog that would best fit my home, family and lifestyle, as they are the ones that know the dogs and the breed the best.


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