Animal Adoption Application

Animal Adoption Application

Fur and Tails Animal Rescue
Are you applying for a specific pet?*
Animal Name
Type of pet*

Canine-Dog or PuppyFeline-Cat or KittenOther
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
How long have you been at the above Address?*
List all children in your household with ages*
List all adults in your household with ages*
What type of home do you live in*

Single FamilyTown Home or CondoApartmentFarmOther
Please select which best describes your household*

ActiveNoisyQuietAverage
Please provide Rental/Leasing agency Name:

First NameLast Name
Rental/Leasing Agency Telephone:
Please provide any rules around pet ownership for your HOA, Apartment or Subdivision:
Include breed, size or number restrictions and additional deposits etc.
Does anyone in your household have a known allergy to animals?*

YesNoUnknown
Is everyone in your household in agreement to adopt a pet?*

YesNo
Do you have time to provide adequate love and attention to a pet?*

YesNo
Please describe all other pets in the home:*
Are all pets up to date with their vaccinations?

YesNoN/A
Are your current pets spayed or neutered?

YesNoN/A
Have you ever surrendered a pet?*

YesNoN/A
Have you ever had a pet euthanized?*

YesNoN/A
Have you ever lost a pet to an accident?*

YesNoN/A
Name and contact information for current Veterinarian

First NameLast Name
Veterinarian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Veterinarian Phone Number
Describe your ideal pet and why?
Breeds you would not consider for a pet:
Desired Age of Pet*

Puppy- Kitten- BabyJuniorSeniorNo Preference
Desired size of pet:*
Desired sex of pet*

MaleFemaleNo preference
Describe where and how the pet will spend it's day and night.
Maximum hours the pet will be left alone:
Who will be responsible for the pet's daily care?
Who will be financially responsible for the pet?
Do you agree to provide regular health care by a licensed veterinarian?

YesNo
Do you agree to keep this pet as an indoor pet?

YesNo
How do you plan to supervise the pet when outside?
Leash, fenced yard, etc.
How did you hear about Fur and Tails Animal Rescue?

FacebookPetfinderFriendWeb SearchOther
Would you be interested in Volunteering or Fostering?

FosterAnimal TransportEvent VolunteerVolunteerOther
Personal Reference 1 Name

First NameLast Name
Phone Number
Personal Reference 2 Name

First NameLast Name
Phone Number
I agree that the information submitted above is true to the best of my ability. I agree that this pet would be a family pet and it not being adopted for illegal use. I agree that I will surrender the pet to Fur and Tails Animal Rescue if I am unable to care for it. I agree that the financial responsibility of ownership begins when I take custody of the animal. I agree that this is an application to adopt a pet and a suitable pet may not be available. Fur and Tails Animal Rescue makes decisions based on the best outcome for the animal.
Signature

Clear
If you are considering a meet and greet with a prospective pet, please complete the Voluntary Release Waiver and indemnity Agreement.
Date

MonthDayYear
Date
Should be Empty: