This year we have added Anson County NC animal shelter to our partner shelter program.  We will be helping to save animals in the community as well as the shelter.  We have also started a targeted community spay program to help the influx of puppies and kittens in need in the community.
Please make a donation to help us with this effort.
 


eb Form Generator
Giving death row dogs a chance to find a forever home one dog at a time. ...

Adoption Application

WHERE HOPE LIVES CANINE ADOPTION APPLICATION

Please complete the following information and submit the application to adopt one of our dogs or to apply to be on the list when a dog that meets your needs is available.

Today's Date:
Name of Dog (if specific one)::
Color of Dog (if no specific one listed):
Ages of dog you would consider:
Approximate weight at adult:
Applicant Name:
Address:
City/State/Zip:
Home Phone (include area code):
Cell Phone (include area code):
Work Phone (include area code):
Email Address:
Date of Birth:
Employment Status:
If employed, employer name::
Co-Applicant Name (if applicable):
Relationship to Applicant
Work Phone (include area code)
Cell Phone (include area code):
Number of People in the House::
If children live in the house list ages:
Are you or a member of your household allergic to pets?::
Employment Status (Co-applicant):
If employed, employer name:
Type of Residence:
If rental, are dogs allowed?:
Size Restrictions?:
Max Size Allowed?:
Complex Name/Address:
Manager/Landlord:
Current Housing Location:
Type of Street:
Where will dog live?:
Where will dog spend nights?:
Is your yard fenced?:
What type and how high?:
Will you allow the dog to run loose? If so, where?
How many hours per day will the dog be alone?:
Where will dog stay when left alone?:
In the absence of the primary caregiver who will care for the dog?:
Under what circumstances would you return the dog to us?:
Are you willing to take responsibility if this pet acquires an illness or tests positive for heartworms?:
Are you willing and able to pay the veterinary costs of caring for your new pet?:
Are you willing to take the time to work with a dog on housebreaking or chewing, if such problems occur?:
Would you consider obedience training for your new dog?:
How much time are you prepared to allow for your new pet to adjust to your home?:
Have you had pets in the past 7 years? If yes complete the following information for each pet.
Name of Pet/Type of Pet, How many years did you own the pet; Was the pet spayed/neutered? Did pet live inside or outside? Where is the pet now?:
Name of Pet/Type of Pet, How many years did you own the pet; Was the pet spayed/neutered? Did pet live inside or outside? Where is the pet now?:
Name of Pet/Type of Pet, How many years did you own the pet; Was the pet spayed/neutered? Did pet live inside or outside? Where is the pet now?:
Name of Pet/Type of Pet, How many years did you own the pet; Was the pet spayed/neutered? Did pet live inside or outside? Where is the pet now?:
Name of Pet/Type of Pet, How many years did you own the pet; Was the pet spayed/neutered? Did pet live inside or outside? Where is the pet now?:
Current or Previous Vet, name of clinic:
Vet/Clinic Phone Number:
Will the dog take heartworm preventative? If so what kind?:
Are you aware that a dog is a long and lifetime commitment?:
Personal Reference: Please list name, Relationship, Phone Number and Best time to call:
Personal Reference: Please list name, Relationship, Phone Number and Best time to call:
Personal Reference: Please list name, Relationship, Phone Number and Best time to call:
Comments or Additional Information: 
Animals can be adopted by completing the above application and submitting it to our rescue. Thank you for your interest and once we receive the form we will contact you as soon as possible.

Adoption Fee include basic vetting, transportation is additional and can be arranged

Adults: $150.00 - $200.00

Puppies and Kittens $250.00

***NOTE*** We do NOT offer long distance adoptions to areas where we don't have a volunteer presence.