To download a printable copy of this adoption form, click the Download button below. 

The following information will allow us to determine if the animal you are interested in adopting is compatible with your family and lifestyle. The ongoing safety and happiness of our dogs are our primary concern. 

You must meet the following criteria before your application will be considered:

  • Be 21 years of age or older.
  • Have the consent of the property owner (if it is someone other than you).
  • Be able and willing to spend the time and money necessary to provide medical treatment, proper care and training for a pet.
  • Understand that dogs are active and need daily exercise and mental stimulation.
  • Accurately complete this application. Incomplete applications will not be considered.
  • Please note: H.A.R.T. reserves the right to refuse adoption to anyone.

Our adoption donation fee helps to partially defray the veterinary expenses incurred in rescuing the dog. All dogs will have been neutered or spayed, vaccinated (including a Rabies shot) and given other medical treatment needed for problems that H.A.R.T. is aware of and can treat before adoption.

Adoption fees are non-refundable


Return Policy:


If I cannot keep the animal I am adopting for its lifetime, I agree to contact H.A.R.T. to discuss options. If the animal needs to be returned it will be my responsibility to arrange any necessary transport at my expense. I agree to not euthanize this animal unless advised by my veterinarian for medical reasons. 




I agree to provide proper shelter, quality food, and proper medical care, i.e. necessary vaccinations provided as advised by your veterinarian. I agree that this dog will not be allowed to run free without supervision. I agree this dog will live in the house as a member of family and will not be chained or cabled in the backyard. I agree not to allow this animal to ride loose in the back of a truck, or be used for guarding purposes. I agree to obtain all licensing as required by local ordinances, and attach an identification tag to a properly fitted collar on the animal at all times.



I understand that H.A.R.T. cannot guarantee the health or temperament of the adopted animal and hereby release H.A.R.T., Board Members, volunteers, or any affiliates of H.A.R.T. from any claim, cause of action or liability for any injury or damage to persons or property once the animal is in my possession. I agree that if H.A.R.T. determines that any of these provisions have not been fully complied with I will return the animal to H.A.R.T. on demand. If I fail to return the animal, H.A.R.T. shall have the right, without further notice or demand to enter the premises where the animal may be, and remove the animal without process of law. Adopter agrees to waive all claims of trespass or damage.


Please Fill Out The Application Completely.


Name *
Phone *
Address *
Mailing List *
Do you wish to be added to our mailing list?
Are these animals spayed or neutered?
If you have other pets, will they adjust to the new pet in the house? *
Landlord phone #
Landlord phone #
We may request a written statement from your landlord before adoption can be finalized. Do you agree to this?
Do you accept the terms listed below? *

By hitting the submit button above you agree to all the terms.

I am in full agreement with the H.A.R.T. Terms of Adoption and understand that if I ever relinquish the dog, H.A.R.T. must be notified in advance to discuss possible options.  By submitting this application I am attesting to the truthfulness of my answers. I understand that falsification of any information given to H.A.R.T. in this application or in any other medium will be grounds to disallow the adoption. I understand that a home visit may be required for adoption. I understand that H.A.R.T. dogs are spayed or neutered or have a spay/neuter contract. H.A.R.T. reserves the right to refuse any applicant for any reason.