MHCR Adoption Application

Adoption Application

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SUBMISSION REQUIREMENTS
In order to process your application, please have the following documents ready to submit: IF YOU OWN: Proof of home ownership (public property tax record, current mortgage statement, or current home owners policy) readily available. You're welcomed to block out any sensitive material. IF YOU RENT: A signed copy of your current lease AND a copy of your landlord's restrictions related to breed, age, size. ALL: Current vaccine records for all canines in the home. These items are REQUIRED. Failure to provide will result in delayed processing of your application.

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Today's Date*
Date Format: MM slash DD slash YYYY
Primary Applicant Name*
First Last Age
Spouse/Legal Partner
Co-Applicants include married couples or legal domestic partnerships ONLY. Please do not list roommates, fiances, boyfriend/girlfriends, parents, or siblings.
First Last Relationship to Primary Applicant
I understand that if I am not married or in a civil union at the time of adoption, only one person can be the owner of any dog I adopt and that person will be me, the primary applicant.*
- Yes
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Type*
Email*
Enter Email Confirm Email
Have you applied with MHCR within the last 12 months?*
PLEASE STOP FILLING THIS OUT AND EMAIL US. YOU DO NOT NEED TO COMPLETE ANOTHER APPLICATION.

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Have you applied recently with another rescue?*
If yes, what is the name of that rescue?*
This will help us streamline the approval process.
Do you own or rent your home?*
Please upload proof of ownership or permission from landlord to adopt a dog.*
Proof of ownership needs to be a property tax statement, mortgage statement, Homeowner's insurance policy, etc. Landlord permission needs to be a current full, signed lease and include breed/age/size restrictions.
Please tell us about the human members of your household (enter N/A if you live alone):*
Include anyone that lives with you full or part-time, including spouses, children, roommates, etc. Click the plus sign to add more people.
Name Age Gender Relationship to you
Is anyone in your home allergic to dogs?*
Has anyone in your home been convicted of or charged with neglect or abuse to animals or children?*

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Please tell us about the animals on your property (enter N/A if none):*
Please include dogs, cats, ferrets, rabbits, birds, chickens, horses, etc.
Species Breed Sex Age Spayed/Neutered
Please upload proof of CURRENT vaccine status on all canines in your home.
This is required. Failure to provide will delay the processing of your application.
Drop files here or

Accepted file types: jpg, png, gif, pdf.
Please answer the following about any animals you have that aren’t dogs or cats:*
- I don’t have any animals or I only have dogs/cats.
- My pets are in a secure outdoor enclosure
- My pets have free roam of my home/yard
- My pets have a secure indoor enclosure
- My pets/livestock have a fenced in area on my property
- My newly adopted dog will not have access to my other non-cat/dog animals
- My newly adopted dog will have access to my non-cat/dog animals

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Please tell us about your fencing/yard/outdoor area.*
- I have a fenced in patio or balcony
- My yard is not fenced
- My yard is partially fenced
- My yard is fully fenced
- My fence is under 3' tall
- My fence is 3-4' tall
- My fence is 5' -6' tall
- My fence is taller than 6'
- My fence is a privacy fence
- My fence is split rail
- My fence has chicken wire
- My fence is livestock fencing
- I live on acreage
- My dog will be taken outside on leash only
How many hours will your adopted dog be home alone currently?*
Please be as specific as possible. For example, “3 hours a day 3 days a week and an hour at most the rest of the days.”
How many hours will your adopted dog be home alone once life returns to normal after covid? If you're not sure, how long would a dog have been home alone prior to covid?*
Please be as specific as possible. For example, “3 hours a day 3 days a week and an hour at most the rest of the days.”
Where will your new dog be kept when you're not home?*
- In a crate inside my home
- Confined to a room inside my home
- In a crate in my garage
- In an outdoor run connected to my home
- In an outdoor run connected to my garage
- In an indoor/outdoor run connected to my garage
- In an outdoor dog run without access to the indoors
- Free roam in my home without access to the outdoors
- Free roam in my home with access to outdoors
- At doggie daycare
- Outside without access to the indoors
Where will your new dog sleep?*
- In a crate inside my home
- In a crate in my garage
- In an outdoor run connected to my home
- In an outdoor run connected to my garage
- In an indoor/outdoor run connected to my garage
- In an outdoor dog run without access to the indoors
- Wherever they want inside my home
- Confined to a room inside my home
- On a dog bed inside my home
- On my couch or bed
- Outside/Dog House
Is your garage temperature controlled?*
- It is not temperature controlled
- It is insulated
- It has heating and cooling
- It has heating only
- It has cooling only

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Please tell us why your family would like to adopt a dog.*
Please tell us the name and breed of the specific dog you're interested in:*
If the dog you've applied for is NOT available, would you still like to proceed with processing your application, which includes a home visit, in the event you'd be open to meeting other dogs either now or in the future?*
- Yes, I'm open to alternative dogs and want to continue with my application
- No, I am only interested in the dog I applied for and will not entertain a different dog.
Please tell us what type of dog you'd consider:*
Include specifically what parameters you have for your dog search. Examples are age, breed, sex, size, etc.
Please tell us about your experience with dogs.*
Include information such as breeds you're experienced with, your overall exposure to dogs, and what you feel their role in the home should be.
What behaviors do you REQUIRE from your new dog at the time of adoption?*
- House trained
- Crate trained
- Good with kids
- No ongoing medical needs
- Good in a car
- Walk easily on a leash
- Good with other dogs
- Good with cats
- Friendly with strangers
- I have minimal expectations - I’m familiar with rescuing a dog
What are behaviors that you absolutely will NOT work on with your new dog?*
This section is designed to help us understand what behaviors a dog must exhibit so that we can try to match you with the right dog. Please answer honestly.
- Basic Obedience
- Marking in the house
- Barking
- Timid or fearful
- Jumping on people
- Aggression to other dogs
- Aggression towards cats or other pets
- Fence jumping
- Pulling on a leash
- Barking/lunging/or otherwise "aggressive" behavior towards humans
- Food aggression
- Intolerant of children
- Getting on furniture
- Separation Anxiety
- I will work with any behavior

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Under what medical circumstance(s) would you seek to euthanize or return your dog to MHCR provided that none of these conditions were due to terminal illness and their quality of life would still be good?*
This section is designed to help us understand your ability and willingness to address health/medical issues as they arise. Please answer honestly.
- An accident or injury that is treatable/curable, such as a broken leg, requiring urgent medical attention costing $3000 or more
- An accident or injury that is treatable/curable, such as a broken leg, requiring urgent medical attention with an expected bill of less than $3000
- Diagnosis of a lifelong medical condition requiring daily medication
- Incontinence - leaking urine
- Blindness/deafness
- An accident or injury that would require in home rehab and recovery for a period longer than 2 weeks
- None of these.
What are reasons you would surrender your dog back to MHCR?*
Please answer this question honestly as this helps us make sure that we match you up with the right dog.
- If I got a divorce
- If I have to move out of state
- If I have to move out of the country
- If I get a new job
- If it no longer suits me to have a dog
- If I have a baby
- If I get a new dog and my old dog doesn't like it
- If I decide I'd like a different dog
- If it starts chewing my furniture or peeing on the floor
- None of these. I would keep my dog.
Have you ever given away/rehomed/surrendered a pet?*
- Yes
- No
If yes, please explain:*
Include when, type of pet, conditions of surrender or rehome, etc.
Is there anything else you'd like to share with us?*
Have you had a dog or puppy with parvo virus within the last 5 years at your property?*

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Do you understand that a dogs behavior in their foster home is NOT an indicator of what the dogs behavior will be in your home?*
- Yes
Do you understand when you adopt a dog from MHCR, you are not permitted to re-home/surrender/give away the dog you adopt without prior written consent of MHCR?*
- Yes
Do you understand MHCR often receives multiple applications for one dog and we do our best to choose the best possible fit?*
- Yes
Do you understand MHCR has a 7 day trial adoption period wherein an adopter has 7 days to terminate an adoption and shall be entitled to a 50% refund of the adoption fee?*
- Yes
Do you understand that it may take longer than 7 days for a new dog to acclimate to a new home?*
- Yes
Breed Placements*
Do you understand that MHCR will not place the following breeds or mixes thereof in apartment settings? Pit Bulls, Hounds, German/Belgian/White Shepherds, Siberian Huskies, Alaskan Malamutes, Australian Cattle Dogs/Heelers, Border Collies, Australian Shepherds, Great Pyrenees, Anatolian Shepherds, Cane Corso, Neapolitan, and Presa Canarios.
Date of Birth of Primary Applicant*
Date Format: MM slash DD slash YYYY
Thank you for taking your time to complete this application. By typing and signing your name below, you attest to the truthfulness of your answers. Falsification of any of the above information may result in denial of your application for adoption.*
First Last
Signature*
- I would like to receive future communications from Mile High Canine Rescue

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Forms and Applications
Foster & Volunteer Resources

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Email

About MHCR

Mile High Canine Rescue, Inc. is a 501(c)3, Colorado non-profit organization established in 2019. We are 100% volunteer run and foster home based. MHCR aims to provide abandoned, neglected, and abused dogs a loving home to grow and learn in until a suitable forever home is found. While in foster care, our dogs are spayed/neutered, heartworm tested/treated, microchipped, and vaccinated. We rescue dogs from Colorado, Texas, and New Mexico.

Hours/Location

MHCR has foster homes spread throughout the state of Colorado.

We do not have a facility and therefore operate by appointment only.

Please Contact Us with any questions!

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Name	Age	Gender	Relationship to you

Species	Breed	Sex	Age	Spayed/Neutered

Adoption Application

Step 1 of 8

SUBMISSION REQUIREMENTS

PLEASE STOP FILLING THIS OUT AND EMAIL US. YOU DO NOT NEED TO COMPLETE ANOTHER APPLICATION.