Adoption/Foster Application

Adoption/Foster Application
Date

MonthDayYear
GENERAL INFORMATION
Pet Parent #1

First NameLast NameAge
Pet Parent #2 (put N/A if non applicable)

First NameLast NameAge
Email Address
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
HUMAN FAMILY MEMBERS

Please list EVERYONE who lives/frequents the house (even if it's for 1-2 days per week)
HUMAN FAMILY MEMBER #1

First NameAgeHow many days per week are they homeHas he/she been around dogs before? If yes, how do they interact with them?
HUMAN FAMILY MEMBER #2

First NameAgeHow many days per week are they homeHas he/she been around dogs before? If yes, how do they interact with them?
HUMAN FAMILY MEMBER #3

First NameAgeHow many days per week are they homeHas he/she been around dogs before? If yes, how do they interact with them?
HUMAN FAMILY MEMBER #4

First NameAgeHow many days per week are they homeHas he/she been around dogs before? If yes, how do they interact with them?
HUMAN FAMILY MEMBER #5

First NameAgeHow many days per week are they homeHas he/she been around dogs before? If yes, how do they interact with them?
HUMAN FAMILY MEMBER #6

First NameAgeHow many days per week are they homeHas he/she been around dogs before? If yes, how do they interact with them?
HUMAN FAMILY MEMBER #7

First NameAgeHow many days per week are they homeHas he/she been around dogs before? If yes, how do they interact with them?
HUMAN FAMILY MEMBER #8

First NameAgeHow many days per week are they homeHas he/she been around dogs before? If yes, how do they interact with them?
Any additional information you would like to share regarding any Human Family Member's disposition and behavior towards dogs?
HOME INFORMATION
What kind of home do you reside in?
Do you own the home or rent?
If you rent, are you willing to provide ILBM with a copy of your lease or a signed letter from your landlord (with contact information) showing the pet policy?
Do you have a yard?
If you do not have a yard, OR it is NOT fenced AT ALL, how do you plan on exercising the dog?
FURRY FAMILY MEMBERS

Please list all animals that reside on your property (inside or outside) includes dogs, cats, birds, farm animals, etc
FAMILY MEMBER #1

Species/BreedAge/Sex - Fixed- Y/NDog Friendly? Yes or NoHow long have you had?
FAMILY MEMBER #2

Species/BreedAge/Sex - Fixed- Y/NDog Friendly? Yes or NoHow long have you had?
FAMILY MEMBER #3

Species/BreedAge/Sex - Fixed- Y/NDog Friendly? Yes or NoHow long have you had?
FAMILY MEMBER #5

Species/BreedAge/Sex - Fixed- Y/NDog Friendly? Yes or NoHow long have you had?
FAMILY MEMBER #6

Species/BreedAge/Sex - Fixed- Y/NDog Friendly? Yes or NoHow long have you had?
FAMILY MEMBER #7

Species/BreedAge/Sex - Fixed- Y/NDog Friendly? Yes or NoHow long have you had?
FAMILY MEMBER #8

Species/BreedAge/Sex - Fixed- Y/NDog Friendly? Yes or NoHow long have you had?
Any additional information you would like to share regarding any Furry Family Member's disposition and behavior towards dogs?
Are your current dog/s spayed/neutered?
If No, why not?
Are your current dog/s up to date on vaccinations, provided monthly heartworm/flea/tick prevention, and see their veterinarian at least once a year?
ADOPTEE/FOSTER INFORMATION
What is the name of the dog you're interested in?
What characteristics are you looking for in a dog? (please enter NA into any boxes if it doesn't matter)

Age RangeSexSize/Weight BreedTemperment (active, couch potato, little of both)
On a typical day, how many hours (roughly) will the dog be alone?
When the dog is alone, how do you plan to take care of them? (crate, full range, block off a room, crate at first and work towards full range, have someone come take the dog out, etc)
Where will the dog sleep at night?
How do you plan to include the dog in your family?
If you have to leave town, emergently or planned, how do you plan on taking care of the dog?
Who will be the primary caretaker of the dog on a daily basis?
How do you plan on socializing the dog? Both with other dogs and people.
REFERENCES
Veterinarian Name (if you do not have one, put N/A)
Ex. "Barnegat Animal Clinic- Dr. Joe)
3 Personal References (cannot be someone you live with)
Do you agree to allow a "I Like Big Mutts Rescue Inc" representative complete a "home visit" (5-10min max) prior to adoption as part of the adoption process?
- I (we) attest that the information provided is true and accurate to the best of my (our) knowledge.
- I (we) understand that completion and submission of this application does not guarantee adoption of a dog from "I Like Big Mutts Rescue Inc.
- I (we) have read over the requirements for adoption on the I Iike Big Mutts Rescue Inc website and agree to their stated terms of adoption (including the home visit prior to approval).
- I (we) permit ILBM to contact our veterinarian and personal references.*
Signature of Potential Pet Parent
Signature of Potential Pet Parent
Should be Empty:

Adoption/Foster Application

GENERAL INFORMATION

HUMAN FAMILY MEMBERS

HOME INFORMATION

FURRY FAMILY MEMBERS

ADOPTEE/FOSTER INFORMATION

REFERENCES