ADOPTION APPLICATION
Please, fill out the form below to apply for a dog you are interested in
Name of the dog you are interested in
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In order to be considered for a foster home or adoption, you must be 21 years of age or older. Any current pets in the home must be up-to-date on vaccinations and spayed/neutered. You must have consent of all adults living in the household. No dog will be placed in homes with indoor smokers. Do you agree to the above?
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Please Select
Yes
No
Note: The second part of the application process includes a home visit by a volunteer. Provide your current address, phone number and email address.
Do you want to foster or adopt?
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Please Select
Foster
Adopt
Will you allow one of our representatives to visit your home?
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Please Select
Yes
No
Note: Visit would be by appointment only.
First Name
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Last Name
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Street Address
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Street Address 2
City
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State / Region
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Postal / Zip Code
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Email address
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Phone Number
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Which best describes your home?
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Please Select
Detached Home
Condo
Duplex
Apartment
Other
Do you rent or own?
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Please Select
Rent
Own
Do you have a fenced yard?
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Please Select
Yes
No
Which best describes your occupational status:
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Please Select
Unemployed
Part-Time
Full-Time
Retired
Attending School
Work from home
Are you 21 years of age or older?
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Please Select
Yes
No
Have you ever been convicted of animal neglect/cruelty?
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Please Select
Yes
No
If yes, please specify:
Have you ever applied to Foster / Adopt before?
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Please Select
Yes
No
If yes, what was the outcome?
Have you ever adopted an animal from a shelter or a rescue organization?
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Please Select
Yes
No
If yes, what happened to the animal?
Have you ever surrendered or re-homed any kind of animal that you owned?
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Please Select
Yes
No
If yes, when and what happened to the animal?
Are you aware of the adoption fee?
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Please Select
Yes
No
How much do you expect to spend annually on your dog?
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Food, vaccinations, licenses, medical care, etc
The reason(s) you would like to adopt a dog from us (check all that apply):
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Companion for people
Companion for a child
Companion for other dog
Special needs facility
Retirement residence
Guarding
Other
How long would the dog be left at home alone daily?
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Please Select
1-4 hours
4-8 hours
8-12 hours
Hardly ever
Where would the dog be kept when home alone and at night?
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Where would the dog stay while you are away or on vacation?
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Are you prepared to deal with possible adjustment period issues?
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Please Select
Yes
No
They may include: house soiling, barking, chewing, conflicts with other animals, timidness, etc.
List all pets in the household (Name, gender, age, species, breed, if spayed/neutered, if vaccinated)
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List all members of the household, including yourself (Name, gender, age and relationship)
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Do all members of the household agree to Foster / Adopt?
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Please Select
Yes
No
Do any members of the household have animal related allergies?
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Please Select
Yes
No
Which member of the household will hold a primary responsibility for feeding, training, exercising the dog?
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Which best describes your home atmosphere?
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Please Select
Quiet
Moderate Activity
Busy
Very Busy
Do you think you could handle more than one dog at a time?
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Please Select
Yes
No
Maybe
Which best describes your "Dog Experience" level?
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Please Select
First time owner
Had a dog in the past
Knowledgable
Experienced
Preferred dog size (check all that apply):
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Small (1-20 lbs)
Medium (20-50 lbs)
Large (50-100 lbs)
Giant (>100 lbs)
No Preference
Preferred dog coat (check all that apply):
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Short
Medium
Long
Non-shedding
No Preference
Preferred dog age (check all that apply):
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Puppy (3-12 months)
Young Adult (1-3 years)
Adult (3-8 years)
Senior (8+ years)
No Preference
Preferred dog energy level (check all that apply):
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Low
Medium
High
No preference
Preferred level of training (check all that apply):
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Housetrained
Basic Obedience
Fully Trained
I am capable of training my own dog
I am planning to use professional help
Other
Preferred Gender?
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Please Select
Male
Female
No Preference
Preferred breed or type? Please specify:
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Please, provide us with your vet's name and contact information.
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Please, note that you will need to call them and give your consent for them to answer any questions we might have regarding your current pets
Please list 3 personal references
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Name, Email, Phone number
Any additional information you would like us to know, that you think is important to your application?
I have answered all the questions truthfully and understand that if any intentionally false statements have been given, this application will be void. I understand that Guardians of Florida Animal Rescue, Inc. has the right to approve or deny this application based on its' policies. I give permission for rescue personnel to contact my veterinarian to confirm health/vaccination records. I understand all the risks involved with adopting/fostering a dog and release Guardians of Florida Animal Rescue, Inc. from any liability. I give permission for Guardians of Florida Animal Rescue, Inc. to periodically visit the animal in my home. I authorize the investigation of all statements in this application. I understand that submitting an application does not guarantee approval.
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I Agree
I Don't Agree
I certify that the information I have given on the application is complete and correct. I understand my failure to provide complete, accurate and truthful information on the application will be grounds to deny or withdraw my application.
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I Understand and Agree
Signature
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PREVIEW
Submit
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