EmailMe Form - FABS RESCUE DOG ADOPTION APPLICATION

FABS RESCUE DOG ADOPTION APPLICATION

PLEASE READ "Before submitting an application" section of the applications page of our website at https://www.fabsrescue.com/applications before submitting this application.

Questions about Adoption Fees or our Application Process are also shown on that page.

It is FABS Rescue policy that resident pets must be neutered/spayed, up to date on all vaccines in order to adopt.

Information submitted on this form is considered private & confidential and will not be shared outside of FABS Rescue.

Application Date *
MM / DD / YYYY
Applicant's Name *
First Last
Applicant's Age *
Applicant's Personal Email Address *
Applicant's Home Address *

Street Address City State / Province / Region Postal / Zip Code
Applicant's Home Phone Number
### - ### - ####
Applicant's Cell Phone Number *
### - ### - ####
Applicant's Driver's License Number & State *
Applicant's Employer *
Applicant's Occupation *
Spouse or Partner's Name
First Last
Spouse or Partner's Age
Spouse or Partner's Employer
Spouse or Partner's Occupation
What type of home do you live in? *
House
Apartment
Condo
How long have you lived at this address? *
Are you planning on moving in the next year? *
Yes
No
If Yes, where are you planning on moving to and to what type of dwelling?
What will you do with your adopted dog if you relocate? *
Do you own or rent your home? *
Own
Rent
If you rent, do you have the landlord's/owner's written permission to adopt and keep a dog?
Yes
No
This is required for adoption.
Landlord's Name
First Last
Landlord's Phone Number
### - ### - ####
Landlord's Email Address
I have notified my landlord that FABS Rescue will be calling to verify permission to adopt a dog(s).
Yes
No
List sex, ages, and relationships of other adults in home *
List sex and ages of children *
Describe your home's activity level *
Busy/Noisy
Moderate Comings/Goings
Quiet with Occasional Guests
Does anyone in your household have allergies to animals? *
Yes
No
If Yes, to what animals is the household member allergic and how is the allergy managed?
Are there times when children visit your household? Please explain the relationship and how often/how many hours this would be. *
Include friends' children, grandchildren, nieces, nephews, etc.
Which dog(s) are you interested in adopting? *
What is your main reason(s) for adopting a dog? *
Are you applying to adopt a puppy/dog from another rescue, shelter or Petfinder listing? *
Yes
No
Have you owned dog(s) in the past? *
Yes
No
What breed(s) and for how many years? *
How do you plan to introduce your new dog to your current pet(s)? *
Have you ever completed a dog training class? *
Yes
No
If you have been to training classes please tell us what type (levels, agility, etc.) *
Please provide details regarding the training sessions you have attended.
If you don't plan to attend training classes with your new dog, what methods will you use to train them? *
Please provide details including the type of training and how you have the knowledge to train.
Has anyone in the immediate family been bitten by a dog? If yes, please describe the circumstances. *
If behavioral problems arise, what steps will you take to work on them? *
Please provide details including the type of training and how you have the knowledge to train.
What do you consider to be a valid reason(s) to surrender a pet or reasons that would make you consider returning your pet? *
Have you ever surrendered a pet before? *
Yes
No
If you have surrendered a pet before, please provide the circumstances surrounding the surrender and to whom (returned to rescue the animal was adopted from, surrendered to shelter, et.c) the animal was surrendered. *
Do you have a fenced yard? *
Yes
No
If Yes, please describe
Size of yard, fence material, height
If you don't have a fence, how will your new dog's potty needs be met?
When, where and for how long will you walk/exercise your new dog on-leash? *
When, where and for how long will you walk/exercise your new dog off-leash? *
How many hours per day will your new dog be left unattended? *
Where will your new dog sleep? *
Do you currently have pets in your home? *
Yes
No

If you currently have pets in your home, please provide details of cat/dog ownership including date of death if the pet is now deceased
PET 1

Name & Species
Sex, Age, Year obtained
Breed
Spayed or Neutered? (Yes/No)
Deceased (Yes/No. If Yes, provide date)
Vaccinations Up to Date (Yes/No)
Primarily Indoor/Outdoor (Please explain)

If you currently have pets in your home, please provide details of cat/dog ownership including date of death if the pet is now deceased
PET 2

Name & Species
Sex, Age, Year obtained
Breed
Spayed or Neutered? (Yes/No)
Deceased (Yes/No. If Yes, provide date)
Vaccinations Up to Date (Yes/No)
Primarily Indoor/Outdoor (Please explain)

If you currently have pets in your home, please provide details of cat/dog ownership including date of death if the pet is now deceased
PET 3

Name & Species
Sex, Age, Year obtained
Breed
Spayed or Neutered? (Yes/No)
Deceased (Yes/No. If Yes, provide date)
Vaccinations Up to Date (Yes/No)
Primarily Indoor/Outdoor (Please explain)

If you currently have pets in your home, please provide details of cat/dog ownership including date of death if the pet is now deceased
PET 4

Name & Species
Sex, Age, Year obtained
Breed
Spayed or Neutered? (Yes/No)
Deceased (Yes/No. If Yes, provide date)
Vaccinations Up to Date (Yes/No)
Primarily Indoor/Outdoor (Please explain)

Please list other pets in the household: Name, species, sex, age, and year obtained; breed; spayed/neutered, up to date on vaccines; on flea & tick and heartworm preventative; primarily indoor or outdoor?
If none, please enter N/A

Vet History 1 *

Vet/Clinic Name
Phone Number
Vet Clinic Street Address
Vet Clinic City/State
# of Years at this Vet
Names of Pets Seen by this Vet
Human Name for Vet Records
Additional Comments

We try to get at least 3 years of vet information/history. If you have been to this vet for less than 3 years please supply additional vet's contact information. If you are a first time pet owner please enter that in the comments.

Vet History 2

Vet/Clinic Name
Phone Number
Vet Clinic Street Address
Vet Clinic City/State
# of Years at this Vet
Names of Pets Seen by this Vet
Human Name for Vet Records
Additional Comments

Add any other vet contact info who your pet(s) have seen aside from primary/Vet History 1 here

Vet History 3

Vet/Clinic Name
Phone Number
Vet Clinic Street Address
Vet Clinic City/State
# of Years at this Vet
Names of Pets Seen by this Vet
Human Name for Vet Records
Additional Comments

Add any other vet contact info who your pet(s) have seen aside from primary/Vet History 1 or 2 here

If your pet has received vaccines from a clinic (Vetco, community vaccine drive, Tractor Supply, etc.) and records were not provided to your regular vet, please list vaccine type and date (month/year). *
If none, please enter N/A. If adding information, records will need to be sent to the rescue upon our request.
Do you agree to call your vet(s) to give them permission to speak with FABS Rescue as necessary to evaluate your application? *
I Agree
I Do Not Agree
I hereby authorize the veterinarian(s) named herein to release information about me or my pet(s) to FABS Rescue as necessary to evaluate me/my family as an applicant to adopt an animal.
Personal Reference #1
-Please list a neighbor, friend or co-worker (no immediate family members)
-Name, relationship, phone #, email address
-Please let them know we will be calling *

Reference Name

Phone Number

Relationship

How long have you known this person?
Personal Reference #2
-Please list a neighbor, friend or co-worker (no immediate family members)
-Name, relationship, phone #, email address
-Please let them know we will be calling *

Reference Name

Phone Number

Relationship

How long have you known this person?
Personal Reference #3
-Please list a neighbor, friend or co-worker (no immediate family members)
-Name, relationship, phone #, email address
-Please let them know we will be calling *

Reference Name

Phone Number

Relationship

How long have you known this person?
The final step in our adoption application approval process is a home visit. This is a requirement for final approval. Are you willing to provide video tour of your home as a virtual home visit (instructions to be sent once this step is reached), or allow a FABS volunteer to visit your home by appointment? *
Yes
No
How did you learn about FABS Rescue? *
Friend, Facebook, Petfinder, etc. If you were referred by a friend that has adopted an animal from FABS or has fostered for us, please provide their name so we may thank them for the referral.
Additional Comments
Please provide any other information you think is important including additional vets if you didn't provide vet contact that would have at least 3 years of vetting history.
Electronic Signature *
By entering my name in this field, I understand I am signing this Agreement electronically and that my electronic signature is the legal equivalent of my manual signature.

I certify that the above information is correct and understand that the information will be verified.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the application being declined.

I agree to have FABS Rescue complete reference checks and conduct a home visit, either virtually or in person, as a condition of final approval of my adoption application.

I acknowledge that I have completely read this application and comprehend it fully.

Reference Name
Phone Number
Relationship
How long have you known this person?