HARA | Happiness Animal Rescue Alliance

Name *

First Name

Last Name

I certify that:

I, the person filling out this form, am the person adopting the dog.

I am 21 years or older.

Date of Birth *

MM

DD

YYYY

Cell Phone Number *

(###)

###

####

What is a good time to reach you?

Weekends

Weekdays

Mornings

Afternoons

Nights

Address *

Full address - please include apartment # if applicable

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Where will the dog be kept?

Inside Only

Outside Only

Both Inside and Outside

I understand that: *

HARA is a volunteer-based 501c3 non-profit organization (no paid staff, no wasted donations!) and that response time may vary. HARA receives an overwhelming number of inquiries each day. It may not be possible for us to respond to all applications.

Failure to treat HARA volunteers respectfully will hurt my chances of being approved for a dog.

Every dog has particular needs. HARA reserves the right to refuse adoption if the dog is not suited to my lifestyle.

E-mail response from HARA may end up in my spam box, I will check there before submitting additional inquiries.