Fields marked with an * are required Text Please Note: For the Safety of our Furbabies & Adopter’s Children We Do Not Adopt Out to Families with Children Under Five Years of Age First Name * Last Name * Email * Phone * Address 1 * Address 2 City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code Date of Birth * hr Have you ever been convicted of a felony or misdemeanor associated with animal abuse and/or neglect? * Yes No If yes, please explain: Name of the dog you would like to adopt: What is your occupation? Employer * Spouse/partner's occupation: Who do you live with? alone with parents with spouse/partner with roommates What are your living arrangements? House Apartment Condo Mobile home How long have you lived at this address? How long do you plan to live at this address? Do you rent or own your home? * Rent Own If you rent, we require written documentation (a copy of your lease agreement or condo documents or a letter from your landlord) showing that pets are allowed? Explain documentation below: If you rent, please provide your landlord's name and contact information below: In what setting is your home located? Urban Suburban Rural What is the name of the veterinarian you will use for this dog? Name Phone number Address: Do you own any other pets, or are there any other pets living in your home? Yes No List ALL animals currently in your home. Include species (dog/cat/bird/etc), breed, age, gender, and whether the animal(s) is neutered/spayed or declawed? Please describe how these pets were acquired: What is/are the vaccine status(es) of each animal in your home? Include vaccine due dates. If you own a dog(s), how does it get along with other dogs? If you own a cat(s), how does it get along with dogs? What veterinarian are you currently using for these pets? If this is different than the vet you listed above, please provide contact information. Name that is listed on veterinary records: Other than your current pet(s), have you owned any other animals? Yes No If yes, please list the pet(s) breed, gender, number of years you owned each pet, and why you no longer own it. List all the members of your household (names and ages) whether or not they are related to you (including yourself): * The pet may live 15+ years, what would you do with your pet if you could no longer care for the pet? * Does anyone in your home have allergies to animals? Yes No Does anyone in your home have asthma? Yes No What is the activity level in your home? Quiet Moderate Active Very active Who will be responsible for taking care of the dog? What is your experience with dogs? Please describe: If you have children in the home, what is their experience with dogs? Do children visit your home often? Yes No If yes, list their ages: Is anyone home during the day? Yes No If yes, who? If no, how long will the dog be left alone? How often do you travel? Who will care for the dog while you are away? Why are you adopting a dog? Who is the dog for? Where will the dog be kept during the day? Where will the dog be kept at night? Where will the dog sleep? Will the dog be allowed outdoors? Yes No Will you crate the dog? Yes No Do you have a yard? Yes No Please describe how you plan to contain the dog in your yard. Do you play to train the dog? Yes No If no, why not? Are you now or have you ever experienced behavior/training problems with a pet? Yes No If yes, please explain the issue(s) and how it was resolved below: What will you do if your dog is destructive? What is your definition of disciplining at dog? Please provide examples below. Have you ever surrendered a pet or had a pet for a short time that didn't work out? Yes No If yes, please describe the circumstances: If for any reason, you can’t keep a Foster and Forever adopted dog, do you agree to return it to Foster and Forever? * Yes No Are you willing to have an initial in-home visit or follow up visit by a representative of Foster and Forever, if Foster and Forever deems it necessary? * Yes No Are you willing to seek and begin immediate training if behavioral issues arise within days of taking ownership? * Yes No Are you willing and able to accept full and immediate responsibility for the ownership of a dog, including all health care costs and necessary burdens and responsibilities of owning a dog? * Yes No If no, why? How did you hear about Foster and Forever Pet Rescue? Please list two references who are not family members below: Name: * Phone number(s): * Name: * Phone number(s): * Please provide a veterinary reference: Name: Phone number: Address: hr Text Please Note: Foster and Forever reserves the right to approve or deny any application according to our adoption policies and in our best efforts to find good homes for the long term well -being of our animals. I affirm that I am at least 21 years of age and have answered the above questions completely and truthfully. I give permission for Foster and Forever to contact the landlord, veterinary, and personal references I have provided and I give permission for these references to release any information they deem relevant to the adoption of an animal(s) from Foster and Forever. * Text Adoption fees include Spay/Neuter Surgery, Age appropriate routine vaccinations, de-worming medication, heartworm testing or a prescription for preventative treatment, Feline Leukemia testing for cats, and Flea/Tick/Ear Mite preventive treatment for all animals. Thank you for considering adopting your next animal(s) from Foster and Forever Pet Rescue. If you are a human seeing this field, please leave it empty.
