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Adoption Application

There are two ways to send us your adoption application:

You may download our Adoption Application and send it to us via e-mail to


You may proceed to fill out our online application below and someone will contact you.

Thank you for your interest in adopting your next loving pet from HOMEWARD BOUND IN THE HEARTLAND ANIMAL RESCUE INC


PLEASE NOTE: Pets can live on average between 15-25 years. Basic Maintenance (Food, Litter, Grooming etc) can range $40 and up per month. An annual vet check and vaccinations could average $60 and up. We require all adopted animals to be spayed/neutered with adoption. Please also understand that by completing this application this is merely the first step towards adopting from HBH. By submitting this application, you are neither guaranteed nor obligated to adopt. This is merely the beginning of a process that will include vet references, person/phone interviews, and a home visit.

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  • If you rent your home, please provide property info:

  • Please list all people currently living in household:

  • Where will this pet be kept:

  • Please provide name and contact information for your veterinarian, or the one you will use with this pet:

  • Please list TWO references I may contact regarding this adoption:

  • Reference #1
  • Reference #2
  • If you answered yes, please list Organizations:
  • Under no circumstances will this dog/cat/kitten ever be abandoned, or sold, leased, or given away to any pet shop, humane society, pound, shelter, research facility, rescue group or euthanized for behavioral problems. If for any reason and at any time the Adopter cannot or does not want to keep dog/cat/kitten, the Rescuer will be notified immediately PRIOR to any disposition of said dog/cat/kitten. The rescuer then has the option to a) to take back dog/cat/kitten, or b) to help find another suitable home. The rescuer will be allowed to make follow-up phone calls and/or home visits to assure adoption was a successful match. Failure to stay in contact or refusing to stay in contact with Rescuer will be a breach of this contract and Rescuer has the right to terminate this Adoption Agreement and retrieve the adopted animal. If Adopter refuses to surrender adopted the animal, Rescuer will file legal action against Adopter for the return of said animal and Rescuer will be entitled to reimbursement of any and all legal expenses paid out in this action. By submitting this form you are certifying that all information contained above is true and correct. That you are over 18 years of age and the person responsible for making pet decisions in your family. That you are looking to adopt a pet, give it a good and loving home as a pet owner and accept full responsibility for his/her care.
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  • This field is for validation purposes and should be left unchanged.