Adoption Application

The answers you provide on this application will help us determine the best possible match between you and the dogs available. Please complete the below form in detail and submit it. Please notify us at if you are having any difficulties. This is a general sequence of events in the Adoption Process. Depending upon where/how you saw the dog you are interested in the sequence of events might vary slightly. •Complete the Adoption Application. All questions MUST be answered. If a question does not apply enter “NA”. •Submit your Application •Please allow up to a week for your application to be reviewed. Street Dog Hero will then contact you with a possible phone interview, check your references and your vet. •A ‘play date’ may be set for you to come out and meet the dog that you are interested in. •A home check may be scheduled.   • Once approved complete the Adoption Contract and pay the adoption fee of $250. The dog is then placed in your care once it arrives and until then it has an adoption hold on it. You will receive an email containing arrival details and suggestions on how to give your new dog a smooth transition into his/her new home with you. Thank you for your interest in becoming a Street Dog Hero! You will forever be a hero to your dog.
  • Applicant's Contact Information

  • Employment Information

  • Personal References

    Please list someone other than an family member.
  • Home Environment Information

  • **If you live in a condominium/co-op, or your house is part of a homeowners association, please provide a copy of the bylaws, rules and regulations of such organization stating that there are no restrictions regarding owning a dog. If there is a limit on the number of pets you are allowed, please note the limit on the copy of the bylaws.
  • If you rent please attach a copy of your lease
  • NameAge 
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  • Pet Ownership Information

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  • Type of AnimalBreedAgeM/FSpayed or NeuteredIndoors/OutdoorsOwned for How Long? 
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  • Type of AnimalBreedAgeM/FSpayed or NeuteredIndoors/OutdoorsOwned for How Long?What Happened to This Pet? 
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  • Describe your ideal dog

  • Acknowlegement of Responsibility

    I acknowledge that this dog is a rescue, and therefore Street Dog Hero has no knowledge about the dog's ability to get along with people, children, other dogs and cats beyond our limited experience with the animal. I also acknowledge that this rescue dog comes with no medical history other than what was observed or detected from Street Dog Hero and the original rescues who found the dog. 
 I acknowledge that the stated age of my adopted pet is determined by a city shelter veterinarian to the best of his/her ability, having no previous history of the dog. I understand that the age is not always accurate and that I should consult my own veterinarian for determination or confirmation 
 I understand that my dog may have been exposed to illness from other dogs on the streets and may be incubating a disease. I RELEASE STREET DOG HERO FROM ALL RESPONSIBILITY regarding the health of your dog. I acknowledge that, on the day I take ownership of the adopted dog, I am solely responsible to provide and pay for veterinary care for my dog 
 I understand I will need to follow up with my veterinarian to obtain future vaccinations for my adopted animal. I understand that in accordance with municipal and state law, I will continue to keep my pet's rabies vaccination current I understand that when adopting a dog, especially when recently living off the streets, there are certain risks involved. I understand that Street Dog Hero, and volunteers of Street Dog Hero, provide the information they have been given on behalf of the animals being adopted in good faith and are not responsible in any way for any issues that may arise in conjunction with adoption or ownership thereafter I UNDERSTAND STREET DOG HERO DONATION ADOPTION FEE IS NON-REFUNDABLE
  • Also please agree to each of the statements below indicating you accept them:
  • All of the above information I have given is true and complete. If I adopt a dog from Street Dog Hero, the pet will reside in my home as a pet. I will provide him/her with adequate water, a quality dog food, shelter, training, affection and medical care. I understand that Street Dog Hero is a referral service and is not responsible for the accuracy of information received about the habits, temperament, or physical condition of the dogs available for adoption. I understand it is my responsibility to evaluate a dog for myself before agreeing to adopt him/her. I am in full agreement of the terms of the adoption. Street Dog Hero shall not be liable for, and is hereby relieved from, all liability for any damage, expenses, causes of action, fines, suits, demands, judgments, or claims of any nature whatsoever arising from or by any reason of any damage to property or injury to any persons caused in whole or in part during the visitation of the dog up for adoption AND a dog placed in your home. I hereby accept and assume such liability and agree to protect, indemnify and hold Street Dog Hero and it’s representatives harmless from and against all of the aforesaid. Completing and returning this document constitutes your permission for us to check references.
  • Both parties agree that this application can be executed by the applicant and sent to Street Dog Hero via hand delivery or by Email. If the applicant would like to send the document via email, applicant and Street Dog Hero both agree that the applicant’s virtual signature is valid and binding upon the parties. Thank you for contacting Street Dog Hero. We look forward to working with you. WE RESERVE THE RIGHT, IN OUR SOLE DISCRETION, TO REFUSE ANY APPLICANT FOR ANY REASON WHATSOEVER.
  • This field is for validation purposes and should be left unchanged.