Full Legal Name of Applicant Applying *

Please provide middle name. Required for background check.

First Name

Last Name

Birthdate of Applicant Applying *

Must be 18+ years old. We will not respond to applications for anyone under 18 years old.

MM

DD

YYYY

Phone *

(###)

###

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Full Address of Applicant *

We do need the physical address the dog will be living at. Unfortunately we cannot accept PO Box addresses.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What type of home do you live in? *

Apartment

Condo

Townhome

Single Family Home

I understand that receiving a recommendation is only that- a recommendation and I will work with the foster family in addition to CHDR to determine if the dog is the right match for my family. *

A recommendation does not guarantee, ensure, or confirm the dog is a match for your family.

Yes

No

Are all your current pets or pets living in your home spayed or neutered? *

We do require all animals in the home to be spayed or neutered unless a medical reason is present. Please do not apply if your dog is not altered without being able to provide medical reasoning.

Yes

No

Are you prepared financially for annual and emergency care? *

Yes

No

Do you have pet insurance? *

We recommend Trupanion.com.

Yes

No

N/A

Do you have plans to enroll in obedience class for your new dog? *

Please read our website (FAQ) for more information on our requirements.

Yes

No

I understand Coco's Heart requires obedience courses within 6 months of the adoption date for ANY dog under 2 years of age. *

The obedience course must be completed at a professional facility of your choosing.

Yes

Are you open to housebreaking your new dog? *

Regardless of housebreaking status, accidents are expected from any dog during transition.

Yes

No

It is important if an adoption finalizes to be sure the adopter has an appropriate collar and leash ready. We recommend martingale collars and slip leads to help transition a new dog into your home. We do not recommend retractable leashes. *

I understand.

I do not understand and would like more information.

I acknowledge CHDR evaluations cannot guarantee behaviors when introduced to new environments, dogs, cats, etc...although this information can provide experiences reported to Coco's Heart by others, including foster parents. *

Yes

No

Have you researched your home insurance, your city and/or association ordinances? *

It is helpful when we are making matches and to make sure you are allowed certain dogs.

Yes

No

Once this application is submitted, you will be automatically redirected to the $25.00 processing fee. If you have already paid this fee, please disregard when redirected. *

I understand.

I do not understand.

CHDR is located out of the Twin Cities/Hudson WI area and do not require our volunteers to travel. We ask our applicants to be able to come to our area to meet the dog to ensure the match is correct. Is this something you are able to commit to doing in a timely manner? *

We do not have a radius we allow adoptions for but do not ship or arrange transport for our dogs.

Yes

No

CHDR does pursue pediatric spay/neuter surgeries and does not offer contracts to delay the surgery. *

Pre-surgical bloodwork as well as high quality veterinary care is provided to all animals during this surgery. We cannot offer a spay/neuter contract and all animals must be altered prior to being adopted. We cannot delay the adoption as well.

I understand

I do not agree and chose to withdraw my adoption interest

Coco's Heart does their very best to keep our website as up to date as possible. I understand that the dog I am interested in may not be available and Coco's Heart will do their best to provide recommendations or place me on the waiting list. *

Yes

No

Would you like to receive a monthly e-mail from Coco’s Heart which includes upcoming events, adoptable dogs, and tips on dog safety and wellness? *

Yes

No

I understand that CHDR adoption fees are non-refundable once an adoption finalizes. This includes situations where the dog is surrendered back to CHDR. *

You will also agree to this when signing our adoption agreement.

Yes

No

I understand CHDR responds to all adoption applications submitted anytime within 1-3 business days and a response within 24 hours is required on my end as the applicant to respond in order to keep my place in line for a specific dog (if the dog is available). If CHDR does not hear back within 24 hours, I understand they will move to the next applicant in line and I forfeit my place in line. *

CHDR focuses on only one dog per applicant at a time.

Yes

No