Foreverhome Pet Rescue, Inc.

This application is intended as a means to match the right dog with the right veteran. The more detail you provide, the better.

PLEASE VIEW AND READ THIS PAGE BEFORE FILLING OUT AN APPLICATION:

If you are selected your service dog is being provided to you through The Redondo Foundation in Partnership with ACDT.

GENERAL INFORMATION
First and Last Name of applicant*
Is there a specific breed you feel more drawn to or any special request with breed? While this is not guaranteed we will do our vest to match you appropriately *
Age of applicant*
Spouse/Partner First and Last Name*
Names of roommates & other adults in the home*
Names AND AGES of children (under 18) in the home*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Have all adults in the household agreed that they want to adopt a new pet?*

PET HISTORY
Please fill out the following information about your current and past pets. Please do not include pets you had as a child living at home - and we do not need information regarding reptiles, livestock or fish.
Current Pets

Pets you have in your household right now.
Do you currently have pets in your home? *
CURRENT PET A - Name:
EX: Fluffy
CURRENT PET A - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
CURRENT PET A - How long have you had this pet (and when did you get this pet)?:
EX: I've had him 10 years - from 2010 to Current
Where did you get this pet?
Is this pet spayed/neutered?
CURRENT PET A - Does this pet like dogs?
Describe previous interactions with dogs
Do you have a second pet currently in your home?
CURRENT PET B - Name:
EX: Fluffy
CURRENT PET B - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
CURRENT PET B - How long have you had this pet (and when did you get this pet)?:
EX: I've had him 10 years - from 2010 to Current
Where did you get this pet?
Is this pet spayed/neutered?
CURRENT PET B - Does this pet like dogs?
Describe previous interactions with dogs
Do you have a third pet currently in your home?
CURRENT PET C - Name:
EX: Fluffy
CURRENT PET C - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
CURRENT PET C - How long have you had this pet (and when did you get this pet)?:
EX: I've had him 10 years - from 2010 to Current
Where did you get this pet?
Is this pet spayed/neutered?
CURRENT PET C - Does this pet like dogs?
Describe previous interactions with dogs
Past Pets

Pets you have had in the past as an adult - starting with the most recent.
Did you have pets in the past?
PAST PET A - Name:
EX: Fluffy
PAST PET A - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
PAST PET A - How long did you had this pet (and when did you have this pet)?:
EX: I had him 6 years - from 2010 to 2016
Where did you get this pet?
Was this pet spayed/neutered?
What happened to this pet?
Did you have a second past pet?
PAST PET B - Name:
EX: Fluffy
PAST PET B - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
PAST PET B - How long did you had this pet (and when did you have this pet)?:
EX: I had him 6 years - from 2010 to 2016
Where did you get this pet?
Was this pet spayed/neutered?
What happened to this pet?
Did you have a third past pet?
PAST PET C - Name:
EX: Fluffy
PAST PET C - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
PAST PET C - How long did you had this pet (and when did you have this pet)?:
EX: I had him 6 years - from 2010 to 2016
Where did you get this pet?
Was this pet spayed/neutered?
What happened to this pet?
Did you have more than three pets in the past?*

SUMMARY AND SIGNATURES
THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION. PLEASE NOTE: Filling out this application DOES NOT guarantee Selection. We have thoroughly evaluated all of the animals in our care, and try very hard to match the right dog to the right veteran We reserve the right not to place you with a dog.
YOU ARE MAKING A MAJOR COMMITMENT WHEN YOU ARE AWARDED A SERVICE DOG. PLEASE REMEMBER THAT DOGS CAN LIVE FOR OVER 20 OR MORE YEARS. THOUSANDS OF DOGS ARE KILLED AT ANIMAL SHELTERS EACH YEAR BECAUSE THEIR OWNERS DID NOT PLAN FOR THE FUTURE. DOGS CAN GET SICK AND REQUIRE EXPENSIVE MEDICAL TREATMENT DURING THE COURSE OF THEIR LIFE. DOGS NEED AFFECTION, ATTENTION AND UNDERSTANDING. YOU MAY HAVE TO ADJUST YOUR LIFESTYLE TO ACCOMMODATE A NEW PET. IF YOU ARE READY TO MAKE THIS COMMITMENT, PLEASE TYPE YOUR NAME BELOW:*
Should be Empty:

Current Pets

Past Pets