R&A Fosters Adoption Application

R&A Fosters Adoption Application

Your Information
Your Name*

First NameLast Name
Email Address
example@example.com
Phone Number*
Format: (000) 000-0000.
Full timePart timeUnemployedStudent
Employer:
YesNo
Please list their name and your relation to them:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
OwnRent
Please provide your landlord's contact information:
Do you have a fenced in yard?*
Do you have kids? (If yes, please just list ages)*

Current Pet Information
CatsDogsOtherNo
Please list all of your pets living/deceased. Please include what kind (dog, cat, or other), their age, if they are fixed (spayed/neutered), up to date on vaccines, and on current heatworm prevention*
Please describe your dog(s) behavior towards other dogs?*
Your Current or Previous Vet*
Vets Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

YesNo
3 Personal References*
YesNo
Please provide a detailed description:
Do you have anything else you would like to share?
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that this application helps determine whether my home is a good fit for the dog listed above, and that submitting it does not guarantee approval or adoption.

I acknowledge that the dog is not being adopted through a licensed rescue or shelter.

I give permission to contact my veterinarian, landlord (if applicable), and personal references listed above. I understand that additional questions, a meet-and-greet, or a home visit may be required prior to placement.

I agree that if at any time I am unable to keep the dog, I will notify R&A Fosters. I will not rehome, sell, or surrender the dog to a shelter without prior discussion.

By signing below, I acknowledge that I have read and understand this statement and agree to the terms above.
Signature of Potential Pet Parent

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