Angel Fund OKC Adoption/Foster Application

Which animal(s) are you interested in adopting or fostering? *

First & Second Choices

Check each option that you are interested in.*

Are you willing to work with us to correct any possible behavior issues that the rescue may have?*

YesNoTo a pointYes, Short term

If unavailable what would your adoption/foster preference be? (Check all that apply)*

Name*

First NameLast Name

Date of Birth*

Date

Email*

example@example.com

Phone Number*

Secondary Phone (Home/Cell - for Microchip Purposes)

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Please fill out the entire application. All questions marked with a ( * ) are required and they must be answered. If they are not, the application will not submit. If any of those marked required do not pertain to you, mark (N/A) in order to move forward with the application process.

List the Names & Ages of any additional (Adult) family members or those who live in your home. *

List the Names & Ages and Relationship to you of any Children under the age of 18 who live with you or who visit your home on a regular basis. *

Have all adults in the home agreed to adopting a new pet?*

YesNoN/A

Is anyone in the home allergic to animals?*

YesNoNot Sure

Do you Own or Rent your home?*

OwnRentOther

Choose which best describes your living situation.*

If a rental, does your lease permit you to have animals?*

YESNOYES/ LIMITEDN/A

If living in an apartment/condo are there any restrictions on dog ownership or breed? (Explain)*

If you rent an apartment/condo, please provide the property name. N/A if not renting.

Landlords Name (N/A if not renting)*

First NameLast Name

Landlord's Phone Number (999-999-9999 if not renting)*

Do you have a yard with a fenced in yard?*

YESNO

If Yes, Please describe the type and height of fence and any security measures taken to prevent animals from escaping or being harmed by predators.*

Please be specific with your description.

IF No, Please describe how you plan to exercise the rescue ?

How many hours per day will your rescue be left alone?*

Please describe what the animals living situation will be. Where will the animal be kept when home alone?*

Please be very specific with your answer .

Have you had rescues previously?*

YesNo

Have you ever rehomed an animal?*

YesNo

If yes to above, please explain the circumstances.

Other animals living in your home? (Click all that apply)*

Are your pets currently up to date on vaccinations?*

YesNoSome not All

Are your pets on heartworm preventative?*

YesNoNot right nowThey will be

Are your pets spayed or neutered?*

YesNoNot YetSome not All

List ALL CURRENT family pets/ Include the Following: (Type / Breed / Age / Dates of last Vet. appointment & Vaccinations, Heartworm, Flea meds. & Spay/Neuter dates) *

Have any of your pets ever displayed any food or other aggression toward other animals or humans?*

YesNo

If so, Please give a detailed description. (Include: Date of any bite incidents) *

Name & Address of Current Vet*

Name

Street Address Line

CityState

Zip Code

Current Vet Phone Number

Name on Account at Vet*

Name

Name of Personal Reference*

Name

Personal Reference Phone Number

Please provide any additional information you feel will help us find the right animal for your home.

By signing via electronicly I agree that:

1. The information that I have provided in this application is complete and correct. I understand that any false information I have provided will invalidate this and any future applications.

2. I further declare that I am financially and physically able to care for a rescue animal. I understand that proper food and veterinarian care may be costly, and I am able and willing to meet the needs of my rescue animal.

3. I understand and agree that if I can no longer care for the animal I adopt from Angel Fund OKC, I will contact the rescue to return this animal. I will not rehome to another rescue or surrender to a shelter.

4. I certify that I am over the age of 18 and have permission from any landlord I may have to adopt this animal.

5. I understand that submitting an application does not guarantee I will be approved for foster or adoption.

6. I agree that the animals I am adopting will be treated as a family member of my family and will be housed inside.

7. I promise that I will provide a humane enviroment, reguar veterinary care with vaccinations, physical exercise / mental stimulation, and companionship for my animal.

8. I understand and agree that Angel Fund OKC makes no expressed or implied warranty, representation, or promise the age, health, breed, habits, disposition, or safety of the animal. I hereby accept the animal as is and assume all risks and responsibilities associated with the ownership of the animal.

Date

Please type your first and last name, as electronic signature, agreeing to above**

Adoption/Foster Application

Adopter Personal Information

Yourself & Family

Home Environment

Rescue Animal Living Space & Care

Current and Previous Pets

Vet and Personal References

Additional Information You'd Like to Share

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