Interested in adopting?

Please fill out this form. We will review your information and get back to you as soon as we can.

(please note that all fields marked with * are required)

First Name*

Last Name *

Email *

Age Range *
 18-29 30-49 50-65 66-74 75+

Do you work? *
 full-time part-time at home retired don't work

Address *

Address 2

City *

State *

Zip Code *

Home Phone *

Cell Phone *

Work Phone

Please list all people who live in your household with ages

Do You Rent? *
 Yes No

If you rent, please explain any landlord/management/HOA pet restrictions

Have you ever owned a pet? *
 Yes No

Have you ever owned a schnauzer? *
 Yes No

Do you have experience with dogs that may need a strong pack leader or aggression? *
 Yes No

My new dog will get exercise by: *
 running in the fenced yard walking on leash dog park playing other

If you checked "Other" above, please explain.

Please list all past and current pets. Include pet's name, breed, how long you had the animal, personality (energy, submissive, alpha, etc.), outcome of the animal, and whether the animal was spayed/neutered. Enter "N/A" if you've never owned any pets before. *

Please list the dog you are interested in.

If for some reason your dog may not be available or if you don't have a specific dog in mind or if your dog may already be adopted please tell us a little about what you are looking for. Please include type (purebred or mix) age range (puppy, adult, senior) and the preferred sex and if you maybe interest in a bonded pair or special needs dog. This way we can match you with the Schnauzer of your dreams.

Would you be interested in a special needs dog (bladder stones, diabetes, deaf, blind etc.? *
 Yes No

Have you ever been issued an Animal Control citation? *
 Yes No

If yes, please explain.

Why are you adopting a schnauzer? *

Name and address of your veterinarian (please use the name that the vet records are under)*

Where will the animal spend most of its time when you are not home? *

Where will the animal spend most of its time when you are home? *

Please provide two personal references. Please do not use relatives.

Reference 1 Name *

Address *

Phone *


Relationship *

Reference 2 Name *

Address *

Phone *


Relationship *

Please realize that dogs need vet care throughout their lives, including yearly vaccinations, heartworm and flea/tick preventative meds, etc as well as obedience training. By submitting this application you are acknowledging that you understand this.

I have read the questions above. I certify my information is complete and true, and I understand any false information may void this application. I authorize HBSR to verify the information provided and contact the references listed above. I also understand that HBSR reserves the right to deny my application.

Print Name *

Date mm/dd/yyyy*