Adoption/Foster Application

Please list other people in your household: Names, ages, and relationship.
Who is the primary caretaker of the dog?
Does anyone in your household have allergies or asthma

YesNo
If you have visitors, do you have a way to separate your dog from them if it is uncomfortable? If yes, please explain
Your Home:
Do you have a pool? If yes, how do you secure your dogs from the pool?
Do you have a security fence? If yes, what type of fence? Wood, chain link, what height?
Does your home have a doggie door?

YesNo
Type of Residence
If you rent, please provide landlord’s name/number
Do you live in a deed restricted area?

YesNo

Foster Applicants Only (Adoption Applicants can skip to Additional Comments
Have you fostered before? If yes, which rescue group?
What time frame are you willing to foster?

Up to a month1-3 months3-6 monthsA year or more
Additional comments. Is there anything else you would like to add or that we should know about you?
Emergency Contacts for Adoption and Foster Applicants
Please be aware that this rescue reserves the right to refuse adoption for any reason in the best interest of the dog.
By typing my name below, I verify that I have answered all of the questions truthfully.
Should be Empty:

Current/Previous Pets