FOSTER DOG ADOPTION APPLICATION

Please fax the completed form to 530-674-7456 or email to info@resqpaws.org

ALL OF THE PETS PLACED INTO HOMES BY RESQPAWS ARE MEANT TO BE INDOOR MEMBERS OF THE FAMILY

Name

Email

example@example.com

Address (including city, state, zip code)

Address

Street Address Line 2

City, State, Zip

Primary Phone

Alternate Phone

1. Name of dog that you are interested in adopting

2. Do you currently live in a

Other

3. Do you currently

4. How long have you lived at your current residence?

If you are not a property owner, ResQpaws will verify your residence's current pet policy with landlord. Please provide the following: Landlord's Name:

Landlord's Phone Number:

5. How many adults live in your home?

How many children and ages (AGES REQUIRED)?

6. Is this dog a gift?

If yes, for whom?

7. Which of the following best describes your reasons for wanting this dog? (Check all that apply)

8. How many hours a day will the dog be left alone?

9. Where will the dog be kept when no one is home?

10. Where will the dog be kept at night?

11. Do you have a fenced yard?

If yes, how high is your fence?

What type of fencing?

12. If you have other pets, are their vaccinations current?

13. If your current pets are not current on vaccinations, why?

14. Do you have a regular veterinarian?

If yes, please provide name and phone number:

15. Under what circumstances would you NOT keep this dog?

16. Please list all of the pets you have had in the past 5 years including those you no longer own. Include: Species, Breed, Age, Sex, Altered (y/n), Years of Ownership, Status of Animal. Pet 1:

Pet 2:

Pet 3:

Pet 4:

Pet 5:

Pet 6:

Add any additional pet details here:

17. When it comes to relating to dogs, I tend to be more:

18. Are you in the military?

19. If you are in the military, what are your plans for your dog if you were to deploy?

I certify that the above information is true and correct to the best of my knowledge. I also acknowledge falsification of the above can result in my being denied adoption of an animal. I understand that ResQpaws Volunteer Organization makes no warranty in regard to the animal’s ownership, condition, disposition, past behavior, or health and that ResQpaws Volunteer Organization can only give such information as is available to them. ResQpaws Volunteer Organization does not warranty the health of any animal and is not responsible for any veterinary expenses associative with treatment of any condition, illness or injury the animal may have or contract. I agree that ResQpaws Volunteer Organization and all its affiliates, members and representatives shall not be liable, answerable or accountable in any manner for any injury or illness to any person, pet or any veterinary care or bills incurred relative to such injury or illness. I agree to indemnify, defend and hold ResQpaws Volunteer Organization and all of its volunteers harmless against any suit, claims or actions brought by any person or persons from or on account of any bodily injuries, diseases, illness or damages caused by said animal. I am responsible for any and all expenses, including court costs and reasonable attorney’s fees for enforcing the terms of this contract provided I fail to uphold it. May we have your permission to use your adoption photo and name publicly? These photos can be used for publicity purposes on our Facebook Facebook page in our Happy Tails album, brochures and/or public displays.

Upon adoption, the pet becomes the sole property of the adopter,

insert adopter name here

There will be no monetary refund seven (7) days after adoption. I agree that if I am approved for adoption and at ANY point cannot keep the animal I adopted, I will contact ResQpaws BEFORE taking the animal to a shelter or re-homing the pet so that ResQpaws has first option to take the animal back.

Signature