Adoption Application
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell Phone
*
Please enter a valid phone number.
Other Phone
Please enter a valid phone number.
Age
*
Occupation
*
Employer
*
When is the best time of day to reach you?
*
Please list the names, ages and relation of all of the adults in the household:
*
Please list the names, ages and relation of all of the children in the household:
*
What type of housing do you live in? (Apt/Condo, Townhouse, Single Family...)
*
Do you own or rent?
*
If you rent, please provide your landlord name and phone number:
How long have you resided at this address?
*
Do you have a fenced in yard? Either way, describe your yard below:
*
Do you have a pool?
*
Yes
No
Do you plan to exercise the dog?
*
Have you ever owned a dog or puppy before? If so, what ages and particular breeds?
*
What kind of experience have you had with dogs? (Dog training, vet tech, groomer, happy pet owner, etc.)
*
What pets do you currently own? How long have you owned them?
*
If you currently own a dog, is it spayed/neutered?
Do you own cats?
*
Yes
No
How many hours per day will the dog be left alone?
*
Where will the dog stay during the day? During the night?
*
Who will be the primary caretaker of the dog?
*
Does anyone in the household have allergies?
*
If there are no children living with you, are there children that visit? (Grandchildren, children that you babysit, etc.)
How often do you travel? Who will watch the dog when you do travel?
*
Have you ever crate trained a dog?
*
Are you willing to have someone from FTLOS visit your home after the adoption process is complete?
*
Are you completely able to cover the costs of caring for a dog for the entirety of it's life? (food, bedding, bowls, puppy pads, medical expenses, tags/microchips, etc.)
*
PERSONAL REFERENCE INFORMATION
Please provide names and telephone numbers for 3 personal references & your veterinarian if applicable. Please give them permission to give us information when we call in advance. Thank you!
Reference #1
*
Full Name
Phone Number
Reference #2
*
Full Name
Phone Number
Reference #3
*
Full Name
Phone Number
Veterinarian Information
*
Name of Vet
Phone Number
Please list which dog you are interested in (Name, color or markings):
ADOPTION APPLICATION AGREEMENT
ALL OF THE INFORMATION I HAVE PROVIDED ON THIS APPLICATION IS, TO THE BEST OF MY KNOWLEDGE, TRUE AND COMPLETE. I UNDERSTAND THAT FALSIFYING ANSWERS ON THE APPLICATION, OR AT ANY OTHER TIME DURING THE ADOPTION PROCESS, DISQUALIFIES ME FROM ADOPTING. IF FOUND TO HAVE FALSIFIED INFORMATION AFTER AN ADOPTION HAS GONE THROUGH, WE WILL REQUIRE THAT YOU RETURN THE ANIMAL TO US ATYOUR OWN EXPENSE.
Signature
*
If the animal I adopt is on medication I will continue the medication as directed. I will not let the animal out loose by itself. I understand the dog is purely adopted out as a pet, to not sell, trade, breed or dispose of the dog. I understand the importance of keeping up with the health of the dog for the entirety of its life. I understand that if I adopt a dog under the age of 5 months that I mustspay/neuter them at the appropriate age and provide proof of procedure to FTLOS. I understand and agree to all information provided to me in my application process.
Signature
*
We require an adoption fee donation in the amount of $150+ the cost of the flight (if being flown to the states- which depends on the dogs' weight). Is this acceptable to you? *Local kitten adoptions are $75
*
YES
NO
Submit
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