Guardian Program Application Form

Potential Guardian Parent:*

First NameLast Name

Gender Preference:

MaleFemaleDoesn't Matter

Email Address:*

Phone Number:*

Area CodePhone Number

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do You Own Any Pets?*

YesNo

Pet Breed(s), Species?

Please state all breeds, species you own

Current Pet's Dispositions And Behavior Towards Other Dogs:

Please Provide Your Veterinarian's Name And Phone Number:

Do You Own Or Rent Your Home?*

OwnRent

Do You Have A Yard?*

YesNo

If "YES" To The Above, Is It Fenced? Please Describe:

What Is Your Landlord's Pet Policy?*

Are There Children In The Home? (If "YES" Please List Ages)*

How Many Hours Per Day Would The Dog Be Alone?

Will You Crate Your Dog?

YesNoUndecided

Please Provide The Names, And Contact Numbers For 3 Personal References:

Have You Ever Been Convicted Of An Animal Related Crime, Such As Cruelty To Animals, Animal Theft, Or Animal Abandonment?*

YesNo

If You Answered "YES" Please Provide A Detailed Description:

By clicking the submit button, I agree to Full Moon Frenchies LLC guardian program, and will except a phone call/interview at the discretion of Full Moon Frenchies LLC. By clicking the submit button, I understand Full Moon Frenchies LLC may check my references with notice including veterinarian. By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my guardian pet, I agree to notify Full Moon Frenchies LLC, by phone, email or social account and provide a 14 day period to allow Full Moon Frenchies LLC to make arrangents for my pet to be taken back and will provide transport where Full Moon Frenchies LLC deems fit. By clicking the submit button, I agree to indemnify and hold harmless Full Moon Frenchies LLC against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my guardian pet, once application and agreement with contract has been completed. By clicking the submit button, I verify all of the above information is true and accurate.