ARTBAR Dog Adoption Application

Applicants must be 18 years of age or older to adopt from Fresh Start Animal Rescue League.

Before starting this application; are all pets currently in the home spayed/neutered and current on their vaccines? If the answer is no, please do this before applying for one of our pets. We require all animals currently in the home be spayed/neutered and current on their vaccines prior to adopting from us. Please complete all the information on the following pages. Missing information may delay the adoption screening process. Completion of this application form does not guarantee that FSARL will place one of our pets in your care. Completion of this questionnaire authorizes FSARL Members to verify any information contained herein, including verification of medical records if any present or prior pets treated by the veterinarians listed. Completion of this adoption process is an indication that you have read, understand and agree to abide by our Animal Adoption Agreement and that the information contained within this application is accurate and not misleading in any way. All adoptions are at the sole discretion of FSARL and we have the right to refuse an adoption if we see fit.

Please give careful consideration to adopting a dog. Dogs are not toys nor short-term commitments. Make sure your lifestyle allows the time, patience, training, and expense this dog will need over the years. Also, keep in mind that licensing and rabies vaccines are required BY LAW. All of our dogs require a vet visit scheduled and verified prior to taking them home. Yearly wellness visits are a must and will be followed up upon.

All dogs will be spayed/neutered, vaccinated, heartworm tested, treated for parasites and microchipped prior to adoption if age appropriate. If adopting a puppy under 6 months of age they will be adopted under a sterilization contract that will be followed up upon. A breach of any of our contracts is grounds for removal of our animals. By completing this form you understand and agree to all requirements.

Application Donation*

USDWe collect a donation for every application submitted. This is considered a donation and you will not receive a refund if your application is denied or you do not get the animal of your choosing. The application fee will come off the adoption fee if you are selected to adopt said animal.

Credit Card

Name:*

First NameLast Name

Name of the dog you're interesting in adopting:*

Put "general" or "breed" in this box if you don't currently have a dog in mind.

Are you or your spouse Military or First Responder? If so, what branch or occupation? You will need to show valid ID or DD214

applicant

spouse

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Format: (000) 000-0000.

Adopter's E-mail

example@example.com

Names and ages of all permanent residents of your home (adults/children)*

Vet reference (please call your vet and give permission to release information to us)*

Vet name, address & phone number

Current pets in your home*

YesNo

If yes then what happened to them?*

YesNo

If you answered yes to the question above please make sure you contact your landlord prior to adopting to make sure there are no restrictions on your property. Also, let them know we are going to be giving them a call.

Please provide your landlord's information as well as any restrictions you have:

Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment/condo/townhome)

What will you do if your dog chews furniture or shows other destructive behavior? *

YesNoSomeone is always home

How many hours per day will this dog be alone? Explain*

YesNoYes, adults have discussed. Kids don't know yet.

Do you feel you can reasonably afford to care for the dog (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)? *

Yes or No

What would cause you to return a dog?*

What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?*

How do you plan to integrate this dog into your family?*

What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?*

Please provide us with at least 2 personal references NOT related to you. Also, please use references that do not live at the same residence. Your personal references should be able to have an idea of what kind of pet owner you are. You can use: coworkers, neighbors, friends, people who would know about your animals.

Again, your references cannot be related to you and should reside in separate homes from you and eachother.

Personal reference 1:*

Name & Phone number

Personal reference 2:*

Name & Phone number

Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?*

PLEASE READ : The adoption fee covers fully vetting the dog, which includes microchip, 4DX test (checks for heartworms and tick-born disceases), fecal test (to check for worms and intestinal parasites), rabies vaccination (puppies under 12 weeks can not receive rabies), distemper combo vaccination, bordatella vaccination, dewormers (puppies up to 8 months may need to be dewormed more than one time, after adoption this is the responsibility of the owner) a single dose of flea/tick preventative (which will kill fleas/ticks and provide a month's worth of protection against them) and basic grooming if needed.

The adoption fee covers spay/neuter of dogs over the age of 6 months, (this is usually done proir to adopting) it does NOT cover dogs (puppies) under the age of 6 months for spay/neuter, this is the responsibility of the adopter. We do offer a reasonable discount for spay/neuter if done at the vet we contract with which is River Run in Pottsville, PA. You also have the right to have your vet do the surgery and must provide a spay/neuter certificate once done which is also in the adoption contract.

We DO NOT crop dogs ears nor do we condone it, this is also stated in the adoption contract and by signing you agree to never crop your dogs ears unless it is medically necessary and we approve it. You are required to take your dog to the vet to establish care with-in 30 days of adoption and take a fecal sample in to test to make sure all intestinal parasites are gone.

Adoption fees are considered donations and if you feel you need to return the animal for any reason, you understand donations are NON-REFUNDABLE. By signing this document I agree to all stated above and I understand everything I have read.

Name*

First NameLast Name

Today's Date*

MonthDayYear

Signature*