EmailMeForm
Dog Adoption Application
PLEASE NOTE: We are committed to matching the right animal with the right family so everyone will have many happy years together. Our adoption process includes the completion of an application, veterinary reference, home visit, adoption fee and contract. You must be at least 19 years old, the head-of-household, lessee or homeowner to submit an application. The application is the first step of our process and the information you provide is only used to make sure the animal you are interested in is a good fit.
Name of the dog you are applying for
Applicant
*
Co-Applicant
Address of Applicant
*
Street Address
City
State / Province / Region
Postal / Zip Code
Phone Number
*
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-
###
-
####
Email
*
Best time to contact
Do you rent?
Yes
No
Are you aware of a pet deposit and/or additional pet rent that may be required by your landlord?
Yes
No
If yes, how much is your pet deposit?
$
Dollars
.
Cents
Landlord's Name and Phone Number
*
How Long at current residence?
Applicant's Place of Employment
*
Co-Applicant's Place of Employment
Would you like to provide a personal reference?
Yes
No
Please provide their name, phone number and relationship to you
How did you hear about FOR?
Have you adopted from FOR before?
Yes
No
What year and what was the animal's name?
Please list all of the people in your household; including names & ages:
Please list all of the animals in your home. Tell us their name, breed of cat/dog, gender, age and if they are spayed/neutered.
Have your animals had vaccines within the last year?
Yes
No
If no, how long ago were they vaccinated?
Please select
1-2 Years
3-4 Years
5+ Years
Do you have...
Chain Link
Dog tie-outs
Overheard runs
Pet Door
Privacy Fence
If other, describe
Does anyone in your home suffer from pet dander allergies?
Yes
No
What treatments are/will be used to relieve these allergies?
If for any reason you are unable to care for the animal, who will be next in line to care for them?
How will you exercise your rescue dog?
Have you ever owned a dog in the past for which you were the primary caretaker?
Yes
No
What breed(s)?
Have you ever sold, given away, surrendered or put down a pet?
Yes
No
What happened to the pet?
Who is the Veterinarian you currently use or will plan to use?
*
Veterinarian Phone
*
###
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###
-
####
List names/species/breed of all the animals this vet has treated for you:
Will the dog mostly be inside or outside?
Inside
Outside
Will the dog be allowed on the furniture?
Yes
No
Where will the dog sleep?
Where will the dog eat?
How many hours per day will your dog be home alone?
Please select
0-3 hours
3-6 hours
6-9 hours
9+ hours
Where will the dog be while you are not home?
Are you familiar with the use of a dog crate to train/confine the dog during your absence or at night?
Yes
No
What will you do with your pet(s) if you need to be away from home overnight or if you plan a vacation?
If you move, are you prepared to search for a place that will accept your pets?
Yes
No
Do you plan to train this dog to be off-leash?
Yes
No
May we visit your home prior to the application approval?
Yes
No
Sex preference of the dog you would consider adopting:
Male
Female
Age preference of the dog you would consider adopting:
2-6mo
6-12mo
1-2yr
3-5yr
6+years
Size preference of the dog you would consider adopting:
Small
Medium
Large
Extra Large
Energy Level of the dog you would consider adopting:
Low
Medium
High
Breed Preference
First available date you will be ready to take ownership of your new family member
MM
/
DD
/
YYYY
Would you consider dog that may have special needs or require medication for a permanent, yet controlled condition?
Yes
No
Is there anything you would like to add?
The information I have provided in this application is true and correct. I understand that completion of an adoption agreement and payment of an adoption fee are requirements of an adoption. I understand that any misrepresentation of facts in this application, failure to sign and return the adoption contract, failure to pay the adoption fee, or failure to comply with any requirement of Friends of Rescue, Inc, (FOR) will result in removal of the adopted animal and I agree to immediately surrender physical custody of the animal in that circumstance.
*
Checking this box indicates my acceptance and understanding of the above statement
