Adoption Application

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PLEASE READ: this app is NOT for Purrfecto Cat Lounge adoptions. Please visit the website www.fuzzytexan.org for the correct application. This is a test question just to make sure the notice is read. Just type in N/A if this is a non-Purrfecto Cat Lounge App!* This field is required.
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Name of animal(s) interested in. * This field is required.
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Address* This field is required.
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Name* This field is required.
First Name
Last Name
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Phone Number* This field is required.
Area Code
Phone Number
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Email* This field is required.
example@example.com
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Living Situation* This field is required.
I own my home
I rent/lease house
I rent/lease apartment
I rent a room (roommates)
I live with someone else
I live with my parents
I am moving to a house soon
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I understand that I must be 21 or over to adopt an animal from FTAR and certify that I meet this age requirement.* This field is required.
I agree
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Applicant's Date of Birth * This field is required.
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Select your area (please refer to the areas on the website to determine what suburbs are included as the cities listed)
Houston
DFW Metroplex
Central Texas (inclusive of the Greater Austin/San Antonio)
Other (NOTE: This option is applicable to felines or fully vetted dogs only. IF YOU CHOOSE THIS OPTION FOR AN ANIMAL THAT IS NOT FULLY VETTED, YOUR APPLICATION WILL NOT BE PROCESSED AND WILL BE KICKED OUT OF THE SYSTEM.
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Please select the area that animal is located in to acknowledge you know what FTAR site you are adopting from (this will be located in the animals social media post or petfinder ad)* This field is required.
Central Texas (inclusive of Austin/San Antonio and anything inbetween)
Dallas Fort Worth
Houston
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Where did you see this pet advertised for adoption?REMINDER THIS APP IS NOT FOR PURRFECTO CAT LOUNGE ADOPTIONS
Social Media (FB, Instagram, TikTok)
Petfinder
Petco
Other
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Do you understand that if you are outside the Texas location of the animal that you are responsible for driving the entire length for pickup? For example, if you are adopting an animal in Dallas and you are in Houston, you are responsible for driving ALL the way to the animal* This field is required.
Yes
Does Not Apply
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Do you acknowledge that if the animal you are adopting is located in your city, you are responsible for driving to the foster location for pickup unless otherwise specified by the rescue representative?* This field is required.
Yes
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Do you understand that if you are adopting from outside of the state of Texas, you are solely responsible for transport and any associated fees?
Yes
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If you live in an apartment what is the name of the complex
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If you are renting does your landlord approve of you adopting a new pet.
Yes
No
I have not notified them yet
I have paid a pet deposit and they approve
Other
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How long how you been at current residence? Are you planning to move soon?* This field is required.
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Have you or a family member living in the same household ever been charged with animal neglect or had a pet confiscated by animal control for not following the law? If yes please explain the situation.* This field is required.
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Have any of your pets ever been lost by escaping your residence? If so, please explain the circumstances. Was the pet found?
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Please Click all that apply* This field is required.
I do not have a HOA
I have a HOA with no breed restrictions
My HOA has breed restrictions and I know its my responsibility to make sure I stay compliant.
My Landlord/Lease does not have any pet restrictions
My Landlord/Lease has restrictions and I know its my responsibility to make sure I stay compliant.
Other
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What Type Fence do you have* This field is required.
Wooden privacy Fence
Chain Link
Combination of Chain link and Wooden
No Fence - Have acreage
No fence - Apartment
No Fence - Trailer
Other
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Do you have a pool?* This field is required.
YESNO
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If you answered “Yes” to the previous question, please let us know is it:* This field is required.
A protective fence around the pool to keep pets out.
There is no fencing around my pool
We do not have a pool
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If you have no fencing around your pool, how do you keep your current animals or how to do intend to keep your adopted animal (if chosen)away from the pool?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Do you have a doggy door?* This field is required.
YESNO
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If you answered “Yes” to the previous question, is your doggy door:* This field is required.
Open access
Controlled access
We do not have a doggy door
28
If you have an open access doggy door (meaning no locking mechanism and the animals can come and go at will), how do you manage the safety of your animals? If you DO NOT have a doggy door, just type N/A/* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Tell us a little about your home environment. Family, kids (Ages), how busy or not busy is your home. What is your daily routine? How long will the new pet be home alone?* This field is required.
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What is your General experience with dogs? If your application is for a cat, what is your experience with cats? * This field is required.
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If you have existing pets, please advise their name, breed and age. (Do not say see previous question)* This field is required.
32
Please list below the current spay/neuter status of EACH animal in your household and where your current pets were spayed/neutered. If you are able, please provide the date and clinic your pets were fixed at. You will be asked during your info to provide this info. If your pet was fixed at a rescue or shelter, please tell us which one.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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If your pet or pets are NOT fixed, is there a medical reason that they are not spayed/neutered?* This field is required.
YESNO
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If you answered "Yes" to the previous question, please elaborate.
Huge
Large
Normal
Small
Ok
Ok
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Is it or are your current pets on flea/heartworm prevention monthly?* This field is required.
YESNO
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Please list the Flea/Heartworm prevention your pet takes. If your pet takes separate meds for each, please list BOTH.* This field is required.
37
Are your current pets up to date on vaccines?If needed are you able to provide proof of vaccination?
YESNO
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Please provide the dates that your pets received their last vaccines. We do require at LEAST the month and year for this question.
Huge
Large
Normal
Small
Ok
Ok
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How would you discipline or correct a new pet? * This field is required.
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Click all the apply for your current pets and new pet you would like to adopt.* This field is required.
Outside dog only
Outside during the day, inside at night
Inside dog only (Out to potty and play)
Crate at night
Will sleep with me
Crate while gone to work
No Crate, will get free roam
Someone is always home
Will go for walks
Dog park near by we will got to
Can't go for walks
Boarding while out of town
In home dog sitter if out of town
Family dog sits if I am away
Other
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Select the situations that you are NOT prepared for and may cause some concern. Choose as many that apply.* This field is required.
Fence Jumpers
Special needs - Blind/Deaf
Too much barking
Puppy biting/mouthing
Shy dog
Jumping up/pawing/hugging
Wants to get on furniture
Too hyper/ too much energy
Dogs that may need medication
Digging or chewing
Does not walk on a leash
Scratching furniture
Potential to urinate outside the litterbox
Choose if none of these apply
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Click all that apply on characteristics you are looking for in a new pet* This field is required.
Young Puppy - ok if not trained
Well Trained puppy
Couch potato - like to sleep, lay around
Someone to run with me
Active dog - Walking, Hiking, Dog Parks, Traveling
Adult dog - House broken
Adult dog - low energy
Adult Dog - Willing to train and work with them
My current dog needs a companion
Senior dog
Large dog - Active
Large Dog - Calm
Medium Dog - Active
Medium Dog - Calm
Small Dog - Active
Small Dog - Calm
Must like cats
Okay if dog has to be only dog (does not like other dogs)
Kitten
Adult Cat
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You understand that ALL status emails will come from Jotform and you must enable Jotform emails in your email program to receive them in your Inbox and NOT your Junk or Spam. This varies by email program and it is your responsibility as the potential adopter to correct this in your email program. You also understand that if this cannot be corrected, your status email may go to Junk or Spam location that has a deletion period of set amount of time and it is your responsibility to check these folders.Type "I Understand" below to signify you read and understand this statement.
44
If choosing to adopt a new puppy or even an adult dog that needs training. Are you willing to do training? Choose all that apply* This field is required.
I have trained all my dogs myself
I have no experience and looking for guidance
I plan on signing up for professional training in home or at a facility
I have raised other puppies and feel confident in the puppy's training needs
Petco/Petsmart has 6 week training classes I would probably use.
I/We really need a well trained puppy
I am fully invested and plan on providing any behavior or training needs for my new pet.
Other
45
In the event that something happens to you as an adopter that results in your death, do you have arrangements in place or the ability to make arrangements for your pet(s)?* This field is required.Please describe.
Huge
Large
Normal
Small
Ok
Ok
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Our rescue is AGAINST cat declaw, cropping ears, and/or docking tails. By applying for adoption, you are agreeing that you will not have any cosmetic surgery performed on the pet.* This field is required.
I agree
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If you have existing pets, please provide the name and phone number of your veterinary clinic. If you have no pets, please provide the name and phone number of a NON related reference (First and Last Name and their relationship to you).* This field is required.
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Tell us a little about what sets your application apart from the rest.* This field is required.
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Date
Date
Month
Day
Year
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Signature
Clear
Should be Empty: