ARSF Pre Adoption Application Form

Akita Rescue Society of Florida

Pre Adoption Application
Date*

MonthDayYear
Date
Perspective Pet Parent*

First NameLast Name
Address*

Street

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Email Address*
Which dog interests you?
Dog Interest
Why?
Rate In Order Of Importance (1-4 with 1 as most important)
Sex:*
Sex
Age:*
Age
Color:*
Color
Personality:*
Personality
Where do you live?*

HouseApartmentOther
If you rent, please provide your landlord's information here:
Landlord
If you rent, what is your landlord's pet policy?
Landlord Pet Policy
Do you have a fenced yard?*
Fenced Yard
If yes, type of fence?
Fence Type
Height of fence?
Fence Height
Would your Akita need to be leash walked or could he/she exercise freely in your yard?*
Exercise
Number of adults in your household?*
Adults
Are there children in the home? (If yes, please list ages)*
Children
Other current pets? (Include breed)*
Other Current Pets
Sex of pets?
Sex
Pet's disposition and behavior towards other dogs?
Disposition
Have you had pets in the past?*
Past Pets
Number of hours dog will be alone daily?*
Hours Alone
Will you crate your pet?*
Crate
If you have to leave town, emergently or planned, where would your pet stay?*
Emergency Leave
HOUSE CHECKS ARE REQUIRED. PURCHASE OF A 48" CRATE IS REQUIRED. CHAINING DOG IS NOT ALLOWED. INDOOR HOMES ARE REQUIRED.
Should be Empty:

HOUSE CHECKS ARE REQUIRED. PURCHASE OF A 48" CRATE IS REQUIRED. CHAINING DOG IS NOT ALLOWED. INDOOR HOMES ARE REQUIRED.