Foster/Adoption Application Form

How did you hear about Sunrise

Full Name*

First NameLast Name

Age

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Home

Area CodePhone Number

Phone Number - Cellular

Area CodePhone Number

Phone Number - Work

Area CodePhone Number

Do you live in a:

Do you:

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

Household Setting

RuralSuburbanUrban

Describe your Homes Activity Level

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*

Does Anyone in your Household have Allergies to Animals?

YesNo

Are all members of your Family agreeable to Fostering or adopting a Dog?

YesNo

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sex, UTD Vaccines, Heartworm, Living/Deceased)*

Do you have a preference in sex of pet?

MaleFemaleNo Preference

Are you willing to foster or adopt an animal of any age?

YesNo

If not, what age would you consider?

What size dog are you wanting to foster or adopt? (Check all that apply)

SmallMediumLarge

Please describe the type of dog you want to foster or adopt (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our animals.

Are you willing to take the animal to vet appointments at a convenient time for you?

YesNo

Do you drive or have access to a vehicle to bring the animal to events and appointments

YesNo

Are you willing and able to medicate this animal, even if it just a monthly heartworm preventative?

YesNo

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?

YesNo

Have you had any experience with with an emotionally or physically neglected or abused dog?

YesNo

If Yes please explain

Are you willing to use a crate for a dog if recommended?

YesNo

Do you have a fenced yard?

YesNoPartial

If fenced, please give details on height, material, # of gates

How many hours in a day would the animal be left alone?

What are your plans to exercise the animal?

Vet Reference: Full Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Reference #1: Full Name*

First NameLast Name

Relation to applicant(s):

E-mail

Phone Number

Area CodePhone Number

Reference #2: Full Name*

First NameLast Name

Relation to applicant(s):

E-mail

Phone Number

Area CodePhone Number

Reference #3: Full Name

First NameLast Name

Relation to applicant(s):

E-mail

Phone Number

Area CodePhone Number

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

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 forfeiture of any Sunrise Farm Animal Sanctuary animal fostered or adopted by me.

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

I understand that by submitting this form electronically, I agree to release and to hold harmless Sunrise Farm and Animal Sanctuary and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the dog.

I accept full responsibility for the dog(s) actions at all times, and release Sunrise Farm and Animal Sanctuary from any liabilities or damages that may be incurred because of the dog(s).

I agree to have Sunrise Farm and Animal Sanctuary complete reference call checks and conduct a home visit inspection to be able to approve my foster/adoption application.

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to Sunrise Farm and Animal Sanctuary and try to give them a 2 week period to try and find another suitable foster for the dog(s).

Date

MonthDayYear

Your name*

E-mail