Adoption Application

**Important:** Please contact your vet within 24 hours of submitting this application and give them permission for Furever Paws Animal Rescue to discuss vetting history with them.

Dog’s Name(s) You’re Applying For:

Applicant(s)

-----------------------------

Applicant Name:

Cell Phone:

Work Phone:

Email:

Age of Applicant:

Address:

City:

State:

<Select>FLALAKARARCACOCTDEGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWIWY

Zip:

Co-Applicant (Optional)

In the event that the dog that you are applying for is no longer available, would you be interested in adopting a different dog?

<Select>YesNoMaybe

Home Information

In what type of home do you live:

<Select>Single FamilyDuplexApartmentTownhouseCondominiumMobile HomeMilitary Housing

Do you own or rent your home:

<Select>RentOwn

Is your yard fenced:

<Select>No YardFenced YardPartially Fenced YardCompletely FencedInvisibleUnfenced Yard

How many adults reside in your household:

<Select>123456789

How many children reside in your household:

<Select>0123456789

If you have children in your household, what are their ages:

Is everyone in your home in agreement with regard to adopting a pet:

<Select>YesNo

Does anyone in your home have medical or allergy conditions:

<Select>YesNo

If allergies present themselves to a family member after adoption, what is your plan to handle that situation:

Who will be the primary caretaker of your adopted pet:

Considering the energy level of your family, what energy level is a good fit for your family?

<Select>Highly ActiveSomewhat ActiveCouch Potato

Pet History

Do you currently have pets:

<Select>YesNo

Name of Pet:

Type/Breed:

Age of Pet:

<Select>Under 12345678910111213 or older

Is/are your current pet(s) Spayed or Neutered:

<Select>YesNo

If no, please explain:

Is/are your current pet(s) current with Vaccines:

<Select>YesNo

If no, please explain:

Is/are your current pet(s) given monthly heartworm preventive:

<Select>YesNo

Do your pet(s) live inside or outside:

<Select>Inside OnlyOutside OnlyInside & Outside

Current/Previous Veterinarian's Information (Name of vet office and which pet(s) were vetted there):

What is your current veterinarian's phone number:

Do you give your permission for our representative to call your vet(s) to obtain pet history:

<Select>YesNo

Have you ever given up a pet:

<Select>YesNo

If yes, please explain:

Where will your adopted animal sleep?

<Select>Inside OnlyOutside OnlyInside & Outside

Do you plan on enrolling your dog in obedience classes:

<Select>YesNo

How much time will the animal spend alone during the day:

<Select>None1-3 Hours3-6 Hours9-12 Hours12 Hours +

Where will the animal be kept when you are not home:

<Select>CratedSpecific RoomFree Roam

What are your plans for your dog while on vacation:

Rescue animals require time to adjust to their new environment. What amount of time do you consider to be reasonable for this adjustment:

<Select>1 Day5 Days10 Days1 Month +

What will you do with this pet if you move (be specific):

<Select>Take Pet with MeRe-Home Pet

What behaviors would you be unable to tolerate from an pet (check ALL that apply):

Potty AccidentsFightingBeing on furnitureHiding from company/familyBarkingEscapingAwaking earlySheddingDiggingCounter SurfingChewingNot adjusting quicklyJumping on peopleGetting into garbageNone of these things

If the animal develops or begins one of the listed behaviors that you feel is intolerable, would you consider working with a behaviorist or trainer before giving up on the dog:

<Select>YesNo

What methods you plan on using to discourage unwanted behavior(s):

For what reason would you consider giving up the animal? Please answer this question honestly! Our goal is to place our animals into homes where they will stay FOREVER. As some pets are not meant to live in every situation, we need to know for what specific reasons you would relinquish this dog. Be specific: Why have you chosen to adopt this animal? Be specific:

Why do you want this animal:

<Select>CompanionChild’s PetCompanion to another PetHuntingGiftGuardOther

What are your feelings on spaying or neutering animals:

I am aware that a pet requires yearly vaccines/tests and the costs can be a minimum of $200? Note: Once you factor in food, trips to the groomers, pet sitter or kennel stays while you are on vacation and other injuries, illness, the cost of owning a pet often times can be as much as $500 or more a year; per pet. Please consider this before making a decision to bring an animal into your home and family.

<Select>YesNo

How long have you been looking for a pet:

<Select>Recent1 Month2-6 Months1 Year or longer

Have you Applied Elsewhere:

<Select>YesNo

If yes, where and what is the status of that application or adoption:

You understand that rescue animals may have unknown medical history:

<Select>YesNo

You understand that rescue animals may have unknown behavior history:

<Select>YesNo

Would you be opposed to a “Furever Paws Animal Rescue” representative visiting/calling you after the adoption is complete to inquire about the animal:

<Select>YesNo

How did you hear about FPAR:

<Select>Word of MouthAdopt a PetAdoption EventGoogle SearchPetangoFPAR WebsiteFacebookOther

I understand that completion of this application will in no way guarantee the adoption of this dog. Furthermore, any falsification of information will result in the immediate denial of this application. By Checking the box below, I declare I am at least 18 years of age.

Check to Agree