Adoption Application
Thank you for your interest in adopting through Farm Dog Fosters Sanctuary. Please answer the following questions honestly and completely. Completing this application does not guarantee adoption, but helps us find the best match for you and the dogs. Estimated time: 5–7 minutes.
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Applicant Information
Full Name
*
First Name
Middle Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Street Address
*
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
ZIP Code
*
County
Date of Birth
*
-
Month
-
Day
Year
Date
Dog of Interest
Dog's Name
*
Another Dog You Would Also Consider
Household & Housing
Housing Status
*
Please Select
Own
Rent
Live with family
Landlord Name
Landlord Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Are pets allowed?
Please Select
Yes
No
Not sure
Type of Home
*
Please Select
House
Apartment
Condo
Townhouse
Mobile home
Farm/Rural property
Other
Does everyone in the household agree to adopting?
*
Please Select
Yes
No
Not sure
List everyone living in the home with ages
*
Do children visit regularly?
*
Please Select
Yes
No
If yes, list ages of visiting children
Yard
Do you have a yard?
*
Please Select
Yes
No
Not sure
Is the yard fenced?
*
Please Select
Yes
No
Partially
Not sure
Fence height (if applicable)
Fence type/material (if applicable)
Is the fence fully enclosed?
Please Select
Yes
No
Partially
Not sure
Veterinarian Reference
Veterinary Clinic
*
Veterinarian if known
Veterinary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
May we contact your veterinarian?
*
Please Select
Yes
No
Lifestyle
How many hours each day will the dog be left alone?
*
Where will the dog stay while you are away?
*
Where will the dog sleep at night?
*
How do you plan to exercise your dog?
*
Have you ever surrendered or rehomed a pet?
*
Please Select
Yes
No
Other
If yes, please explain.
Are all current dogs spayed or neutered?
*
Please Select
Yes
No
Some are too young
Not applicable
Other
If no, please explain.
Please share any additional information about your home or the type of dog you hope to adopt.
Photo Uploads
Front of Home Photo
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Backyard Photo
*
Upload a File
Drag and drop files here
Choose a file
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of
Fence Photo (if applicable)
Upload a File
Drag and drop files here
Choose a file
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of
Landlord Approval or Lease Pet Policy
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Agreement
I certify the information is true and accurate
*
Yes
I understand submitting this application does not guarantee adoption
*
Yes
I agree to provide routine and emergency veterinary care
*
Yes
If I can no longer keep the dog, I will contact Farm Dog Fosters Sanctuary before rehoming or surrendering the dog
*
Yes
Electronic Signature
*
Submit Application
Submit Application
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