Pet Adoption Application

Pet Adoption Application

Friends Of Rescue Animals (FOR Animals)
If you are interested in specific pets for adoption, please enter the names*
Adopter Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Preferred Method of Contact*

PhoneEmail
What is your age?*
What is your occupation?*
Type of Housing*

ApartmentCondoSingle Family ResidenceOther
How long have you lived there?*
If you rent, please provide your landlord's name and phone number.

Landlord NameLandlord Phone Number
Number of Adults at Home*
Names of Adults in Home
Number of Children at Home*
Ages of Children
Is everyone aware in the household aware of the adoption?*

YesNo
Is anyone in the household allergic to pets?*

YesNo
Please tell us which kind of pet you want to adopt.*

DogCat
Are you looking for a specific breed, age or size?*
Please tell us about pets at home*

I have one or more catsI have one or more dogsI have one or more small animalsNot currently but I had onceI have no pets
Please enter the information about your pets
Are all your current pets spayed or neutered?*

YesNoI do not currently have any other pets
Have you ever given up a pet before? If so, please explain:
Please tell us about your prior experience as a pet owner:
Why are you interested in adopting a pet?*
Do you have a fenced yard?*

YesNoNot yet, but we willNo, but we have a play areaN/A - interested in adopting a cat
If you are adopting a cat do you have plans to declaw?*

YesNoMaybeN/A - interested in adopting a dog
Will the pet be kept indoors, outdoors, or both?*
If the pet is a cat, where will the litter box be located?
What are your plans for exercise/stimulation/play?*
How will you train the pet?*
Where will the pet be kept when you are home?*
Where will the pet be kept when you are not home?*
How many hours a day will the pet be alone?*
Where will your pet sleep?*
What will you do with the pet in the case of a family crisis?*
How much money do you expect to spend on the pet per year?*
Are you able to cover the pet's medical expenses?*
If you currently have a pet, how much do you spend on veterinary care per year?*
What is the name and phone number of your current veterinarian?

Veterinarian Name/OfficePhone Number
What is your plan in an emergency if your veterinarian is unavailable?*
Please provide a reference name and phone number that is not a relative or member or your household*

Reference NameReference Phone Number
Additional information you would like to share
How did you hear about us?*
Application Date*

MonthDayYear
Date
By signing this form, I hereby acknowledge that I am at least 18 years old and the information given is true. I understand that completing an application does not guarantee an adoption and the rescue can deny my application for any reason.
Signature*
Signature Name*

First NameLast Name
Should be Empty: