MHCR Adoption Application - Mile High Canine Rescue

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*
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
Travel*
MHCR requires adopters to meet the dog(s) they are interested in prior to adoption. All of our dogs are located throughout CO/WY. How far are you willing to travel? NOTE: MHCR does NOT deliver or ship dogs.
- Under 30 miles
- 30-50 miles
- 50-100 miles
- Any distance
- I'm not willing to travel
Thank you for your interest, however, MHCR does not delivery/ship/transport dogs to adopters.
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.
Max. file size: 256 MB.
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, Max. file size: 256 MB.
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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Name	Age	Gender	Relationship to you

Species	Breed	Sex	Age	Spayed/Neutered

SUBMISSION REQUIREMENTS