Pre-Adoption Application If you plan to attend an event, please bring a completed hard copy of the adoption application to streamline the process or we ask that you fill out another copy. We appreciate it when all human and canine members of the family attend the event to meet the dogs. If you have a resident dog or dogs please bring him/her/them with so they can meet their prospective new canine sibling! We understand that this is not always possible and it is not a requirement but we do give preference to families with all members present. Please understand that we do not adopt on a first come-first served basis. We work very hard to choose the home that is best suited to the dog and family. Click for a Printer Friendly Version of the pre-adoption application First Name * Last Name * Email * Safe Hands adopts to homes within a 60 mile radius of the Twin Cities Street Address * Street Address 2 City * State * - select - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Phone * Work Phone Alternate PhoneOccupation Type of Home? * Single Family House Apartment Condo Townhouse Mobile Home (Trailer) Do you rent or own your home? * Rent OwnIf renting, are pets allowed?Yes NoIf renting, please provide your landlord’s name and phone numberSafe Hands verifies with all landlord's before adopting a pet to their tenants Length of time at current residence? * Do you plan to move within one year? If so, will you rent or own? * Age and relationship of others living in your home? * Why are you looking for a new companion animal? * Who will be the primary caregiver of this animal? * Have you previously owned any dogs? * Yes No Have you ever surrendered a pet? * Yes NoIf you have not surrendered a pet and no longer have the pet, please specify whyPlease be specific Are there any dogs, cats or other pets living in your home? * Yes NoIf yes, please provide the following: Age, Breed, Gender, spayed,or neutered, current on shots, good with other animals?Please provide the name and phone number of your vet:Please note that Safe Hands does contact vets for references, if applicant is a previous pet owner Are you aware that the average cost of owning a dog is $750 per year? * Yes No What characteristics are you looking for in a new animal companion? * Are you looking for an indoor or outdoor companion? * What is the name (s) of the Safe Hands pet you are interested in * Are you committed to providing this pet with the necessary medical care and obedience training to ensure his/her well being in your home for his/her lifetime? * Yes No On average, how many hours will this animal be left alone in your home per day? * Where will this animal be kept when unsupervised? * Do you have a yard and if so is it fenced? * How will you keep this animal on your property? * What activity level would you like your animal to have? * Low Moderate Active Very Active How will this animal get exercise? * Are you familiar with: * Crate Training House Training None What types of socialization opportunities will your new dog/puppy have? * Have you previously trained a dog or puppy? * Yes No What training methods have you used and/or will you use with your new dog or puppy? * Will you be enrolling your dog/puppy in obedience classes? * Yes No If you will not be enrolling in a training class, why not? * Where will this animal sleep at night? * Under what circumstances would you return this animal to Safe Hands Animal Rescue? * How did you hear about Safe Hands Animal Rescue?Is there anything else you think we should know about your adoptive home?