Pom Haven Rescue

Please fill out this entire application if you are considering adopting a dog or puppy from Pom Haven Rescue. Do not leave any questions unanswered. Copy and paste the application to microsoft word or your email and send it to the Pom Haven Rescue representative closest to your geographic location.

Pom Haven does not adopt further than 1 hour from Pittsburgh.

Name:

Phone number:

Address:

Time you can be reached:

Name of dog you are interested in:

1. Have you ever owned a dog?

2. Do all members of the household want a dog?

3. Do you have other pets? Have they been exposed to other dogs, and do they get along with other dogs?

Please include all other pets living in the home, and what breed they are.

1.                                          

2.                                          

3.                                          

4. Have you researched the breed you are interested in?

5. Do you have children under the age of 10 in the home?

Please include the ages of all children in the home or children that will be exposed to the dog

(1.                             (4.                             

(2.                             (5.                                          

(3.                             (6.                             

6. Do you have a veterinarian?

Please include name and telephone number of your vet or vet you plan to use. You must have a vet to adopt from Pom Haven Rescue.

Name                                                         

Number                                                         

7. Can you afford general veterinary care and extensive veterinary care in case of an emergency?

Think very hard about the above question. If there is even a possibility that your answer is no please go no further with this questionnaire and save yourself, Pom Haven Rescue, and the dog future problems! Please initial here           stating that you have read and understand this.

We have had too many dogs returned to us with injuries because adopters did not have the money to pay for emergency veterinary bills from broken bones, electrical burns from chewing through cords, ingesting foreign objects or toxic substances, the list goes on and on. Adopters have brought ill or injured dogs back to our doors expecting us to assume responsibility for veterinary bills because of their negligence. We have rescued these dogs once and don't feel we should have to rescue them again. If you can't afford the vet you can't afford the pet!

8. How many hours of the day will the dog be home alone?

If you answered more than 8 hours per day to the above question, we would prefer you not adopt from us.

9. Do you have a fenced yard, or will the dog be on a leash when outdoors?

 *Please Note: Tie outs, runners, and underground/electric fencing are never acceptable for our rescues. Underground fencing is a convenience for dog owners but a hazard to your dog. Underground fencing does nothing to keep other dogs and predators from coming in to your yard and maiming or worse yet killing your dogs.

10. What form of potty training method will you use, i.e. outdoor, pee pads, litter box?

11. Will you use a crate, baby gates, or some other method to keep the dog safe when unattended?

12. Do you smoke? 

At times we have dogs with trachea problems and they must go to a smoke free home.

13. Are you willing to groom the dog yourself, or pay to have the dog groomed?

14. Do you own or rent your home?

*Please note: If you rent your home you must have written permission from your landlord stating that pets are permitted.

15. Would you allow periodic home visits to see how the dog is adjusting?

16. Please provide the names and telephone numbers of 2 personal references not related to you.

(1.                                                                                                     

(2.                                                                                                        

17. Have you or any family member ever relinquished a dog?

18. Under what circumstances or what reasons would you feel the need to relinquish a dog?

 All applicants please understand that these questions are to insure the health and safety of Pom Haven rescues.

Some of these dogs have been through so much already in their lives and I ask these questions to assure that they are going to a good, caring and hopefully forever home. 

Thanks for your understanding and cooperation.

Please fill out and return to one of the Pom Haven Rescue volunteers nearest to your location.

 After reviewing this application and checking your references we can set up a home visit and meet & greet.

*Please Note: We will not even consider showing dogs or puppies  to anyone who does not fill out this application in its entirety.