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PET ADOPTION APPLICATION FORM

Thank you for contacting us!

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I’m so happy you want to take me home to become part of your family!

But first, the pet counselors at Susie’s Hope Rescue would like to know more about you and the kind of life we’ll live together.

The questions on this application are not a test. They are simply to afford Susie’s Hope
Rescue confidence that you can and will take care of me. I will need to be fed regularly with nutritious meals. I will need to receive veterinary care from time to time. I will also need shelter, a place to run and have fun, and your undivided attention and unconditional love!

Requirements before you can adopt me...you must:
Note: Susie’s Hope Rescue reserves the right to refuse any pet adoption.

Section I - Getting to Know You
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Homeowner/Landlord/Landowner’s Name
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Section II - Tell Us About The New Family

Section III – The Pet’s Role in the Family

The purpose of this section is not to test you, but get you thinking about your responsibilities as a pet owner. After you fill out this section, you may have some questions about pet care. A pet counselor will be happy to answer them for you.

Where will it be kept during the day?  And at night?

Section IV - A Lifetime Commitment

Section V - Adoption Agreement

Whereas the adopting person (as verified via signature in Section VI) agrees that he/she shall become the responsible owner of the pet, and release and hold harmless Susie’s Hope, its representatives and employees from any and all claims, risk, financial responsibilities related to or surrounding the animal’s behavior, actions, training and care. The new owner accepts full responsibility and risk in adopting and owning this pet.


Section VI – Certification Of Information
will hereby return the animal to Susie's Hope, (TM). I will not give the animal, turn into a shelter, or harm in anyway. I realize my responsibility is to contact Susie's Hope Rescue with any problems immediately.

By signing below, I certify that the above information is true and that I will recognize that any misrepresentation of facts may result in my losing the privilege of adopting or keep an adopted pet. I understand that Susie’s Hope Rescue has the right to deny my request to adopt an animal and I authorize investigation of all statements in this application. I understand that this application is the property of Susie’s Hope Rescue.

Thank you for contacting us!

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1589 Skeet Club Road Suite 102-227 High Point, NC 27265
Crafted by Zibster
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  • HOME
  • OUR MISSION
  • SUSIE'S STORY
  • BLOG
  • BOOKS & FILM
    • BOOKS
    • FILM
  • FOSTER OR ADOPT
    • FOSTER HOME APPLICATION
    • PET ADOPTION APPLICATION
    • TRANSFER AGREEMENT FORM
    • ANIMAL SURRENDER FORM
    • RESCUED PETS
  • VOLUNTEER
  • DONATE
DONATE TO SUSIE'S HOPE