Adopt Little Bear | Nicole’s Fosters & Rescues 🐾💙

Adopt Little Bear | Nicole’s Fosters & Rescues 🐾💙

Complete this application to help Nicole match you with Little Bear and share your household, care plan, and medical/veterinary readiness.
Applicant & Contact Information
Applicant Full Name

First NameMiddle NameLast Name
Co-applicant Full Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Confirmation
Household & Home Details
Household members and composition
Number of children in the home
Does everyone in the household agree to the adoption?
Home type
Do you own or rent your home?

Other
Yard and fence details
- Caregiving & Daily Living Plan
- Primary caregiver
  
  First NameMiddle NameLast Name
- Current pets in the home
- Previous pets and pet care history
- Veterinarian history and current veterinary clinic
- Work schedule and typical daily availability
- Hours Little Bear would be alone on a typical day
- Where Little Bear will stay during the day and sleep at night
- Daily routine for Little Bear
- Exercise and activity plan for a low-energy adult dog
- Training and behavior support approach
- Child and visitor introduction plus decompression plan
- Why Little Bear is a good fit for your home
- Resident dog introduction plan
- Routine and emergency veterinary care plan, including willingness to give medications and follow veterinary instructions
- Containment, leash, and lost-dog recovery plan
- References & Acknowledgements
- Reference 1 Full Name
  
  First NameMiddle NameLast Name
- Reference 1 Relationship
- Reference 1 Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Reference 1 Email Address
  example@example.com
- Reference 2 Full Name
  
  First NameMiddle NameLast Name
- Reference 2 Relationship
- Reference 2 Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Reference 2 Email Address
  example@example.com
- Disclosures
- Applicant Signature
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Adopt Little Bear | Nicole’s Fosters & Rescues 🐾💙

Applicant & Contact Information

Household & Home Details

Caregiving & Daily Living Plan

References & Acknowledgements