Foster and Adoption Application Form

Thank you for taking the time to fill out our questionnaire. The purpose of this application is to learn a little about your family and home so that our organization can make the best possible match for both you and our rescue animal. Our main concern is placing our animals in a compatible home with a family that will give them a LIFETIME commitment of love and proper care. This consultation process is designed to help us determine if the adoption is in the best interest of both the animal and the adopter.

Please be aware that while completing this application does not bind you to adopt one of our animals, neither does it guarantee that we will place one of our animals in your home at this time. If you are interested in learning more about one of our animals, please answer the questions honestly and thoroughly.

We reserve the right to refuse adoption to anyone for any reason. A representative of our group may conduct home visits prior to or following an adoption.

IN ORDER TO BE CONSIDERED AS A FOSTER OR AN ADOPTER TODAY, YOU MUST:

  • Be 21 years of age or older.
  • Have identification showing your present address.
  • Have the knowledge and consent of your landlord.
  • Be willing to have a rescue representative visit your home by appointment.
  • Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a pet for the entire life of that animal.

To submit your application form, complete one of the following:

  1. Click here to download and save the form to your desktop computer.
    • Fill in the fields on your computer, save the file, email it as an attachment to info@heartsherd.com 
    • Fill in the fields on your computer, print the file, mail it to us.
    • Print it out, fill in the fields by hand, scan and email it back to info@heartsherd.com or mail it back to us.
      • Printed forms can be mailed to:
        HeartsHerd Animal Sanctuary & Rescue Center
        2075 Buskirk-West Hoosick Road
        Buskirk, NY 12028
  2. Fill in the online form below.

 

ADOPTION & FOSTER APPLICATION ONLINE FORM

YOUR INFORMATION


 

PET HISTORY


 
 
 
 

Please list your CURRENT pets:

 
 
 
 

 

Please list your PREVIOUS pets:

 
 
 
 

HOUSEHOLD INFORMATION


If children are in your household, please list them below:

 
 
 
 

REFERENCES


Please provide two references of people who can provide thorough responses to questions about your suitability as a pet owner.