Dog Adoption Application

The Adoption Process

Our adoption process requires that an application be completed via the on-line pet application. You will be notified immediately via email that your application has been submitted and is being reviewed. Please note – in an effort to provide proper attention to our pets, no manual applications will be accepted during in-store adoption events.

The application will then be submitted to the Board of Directors for review to determine whether or not your application represents the best situation for the pet you applied to adopt. This process could take 3-4 days.

If the Board of Directors approves your application, you will be notified when and where to meet your new forever friend.

You will be asked to sign an adoption contract and pay the tax deductible adoption fee.

Please answer every question as thoroughly as possible. EVERY question must be answered. Incomplete applications will not be considered.

Date *

Month Day Year

Dog you are Interested In *

How did you hear about this dog? *

About You

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

E-mail *

Age (Must be 21 or over) *

Occupation *

Do you have a spouse/significant other *

Spouse/significant other's Name

Spouse/significant other's age *

Spouse/significant other's occupation *

Do you have children *

Have your children been around dogs?

Have your children lived with a dog? *

Has a dog ever bitten your child? *

Children's ages *

Do you have children who do not live in your home, but frequently visit? (i.e. grandchildren, relatives, neighbors, etc.) *

List the names and ages of these children. *

Do you have a roommate or roommates? *

Roomate(s) - Names/Ages *

Are there any other occupants in your home? *

Other occupants - Names/Ages *

Does anyone in your home use a mobility device? (i.e. scooter, wheelchair, walker, etc.) *

About Your Home

Do you live in a *

Do you own or rent your home: *

Does your Condo/Townhouse Association allow dogs? *

Does your Condo/Townhouse Association have a weight or breed restriction? *

Please explain Condo/Townhome Association weight and breed restrictions. *

Landlord's name: Write NA if not applicable *

Landlord's Phone Number: Place all zeros if not applicable *

Area Code Phone Number

Does your landlord allow dogs? *

Does your landlord have a weight or breed restriction? *

Please explain landlord's weight and breed restrictions. Write NA if not applicable *

Is there a deposit required? *

Is the person filling out this application the primary owner/leaseholder/renter? *

How long have you lived at this address? *

If you have been in your current home less than 6 months, what was your previous address? (City & State) *

Do you expect to move in the next few months? *

When and where do you expect to move? *

Is your home: *

Please describe your home's flooring. (Check all that apply) *

Carpet Hardwood/Laminate Tile

Have all adults in your household agreed to adopting a dog? *

Is anyone in your household allergic to dogs? *

Who will be primarily responsible for the pet's care? *

What areas will the dog have access to?: *

Balcony Patio Garage Yard Swimming Pool None of these

Is your swimming pool gated? *

Do you park your car in the garage? *

Do you have a dog door? *

Where is it located and where does it lead to? *

This dog will be: *

What outside space is available for this dog? *

Backyard Frontyard Sideyard Dog Run None of these

What is the height of your yard's fence? *

What material is your yard's fence? *

Wood Block Chainlink Wrought Iron

What material are the gates in your yard? *

None Wood Chainlink Wrought Iron

How are your gates secured? *

None Latches (no lock) Latches (with padlock) Door Lock

Will you allow a volunteer to inspect your home? *

About this Adoption

In your selection of a dog, what are your preferences? Type NP if no preference.

Breed *

Age *

Hair Length *

Sex *

Color *

Personality *

Energy level *

No Preference Very Energetic Playful Mellow

Is there any breed/personality you DON'T want? *

Why are you adopting this dog? *

Companion for me Companion for another pet Child wants a dog Protection Gift

Please explain. *

If you are adopting this dog as a gift for another person - who? *

Will you have your dog tied up? *

Will this be a guard dog? *

Will your dog wear a collar? *

When? *

What type of exercise will this dog get regularly? *

Yard Dog Park Walks Agility

Please explain: *

How often will your dog get exercise? *

Where will your dog sleep during the night? *

In what areas of the house will the dog be allowed? *

Living Room Bedroom(s) Den/Family Room Kitchen Bathroom(s) Entire House

Will your dog be allowed on the furniture? *

How will you train your dog not to jump on your furniture? *

Have you ever taken a dog to obedience training? *

When and where? *

Are you prepared to take a new dog to obedience training and/or hire an in-home trainer if necessary? *

What type of discipline will you use to correct undesirable behavior? *

When and where would you allow your dog to be off-leash? *

Have you ever crate-trained a dog or puppy? *

When? *

How do you plan on housebreaking your new dog? *

If your new dog escaped from your home, what steps would you take to find him/her? *

About Your Veterinarian

Have you selected a Veterinarian? *

Clinic Name *

Veterinarian's Name *

City *

Clinic Phone Number *

Area Code Phone Number

About Your Pet History

Have you ever owned a dog before? *

Have you ever owned a young puppy before *

How many pets have you had or do you now have? *

Do not count fish or reptiles. Do not include animals that were family pets when you were living at home as a child.

Please fill out for ALL animals, PAST and PRESENT. Please put additional information in COMMENTS section below if you have had more than four pets.

Pet 1 -

Name *

Breed *

Sex *

Sterilized *

How old was this pet when it came in to your care? *

How long was this pet, or has this pet been in your care? *

Do you still have this pet? *

Pet 2 -

Name *

Breed *

Sex *

Sterilized *

How old was this pet when it came in to your care? *

How long was this pet, or has this pet been in your care? *

Do you still have this pet? *

Pet 3 -

Name *

Breed *

Sex *

Sterilized *

How old was this pet when it came in to your care? *

How long was this pet, or has this pet been in your care? *

Do you still have this pet? *

Pet 4 -

Name *

Breed *

Sex *

Sterilized *

How long was this pet, or has this pet been in your care? *

How old was this pet when it came in to your care? *

Do you still have this pet? *

With regards to the above animals, what happened to the pet(s) you no longer have?

Chose all that apply. *

Still have all Hit by car Old Age Died of disease Gave away Gave to Shelter Euthanized (put to sleep)

Please explain

If you have had a pet euthanized (put to sleep), please describe the circumstances. Type NA if not applicable.

Please explain. *

Please list additional pets. Please provide as much detail as possible. Type NA if not applicable.

List all other pets. *

Do you presently own a dog? *

Date of last vaccine. *

Does your dog like other dogs? *

Explain your dog's experience with other dogs. Type NA if not applicable.

Be specific *

Do you presently own a cat? *

Date of last vaccine. *

Does your current cat like dogs? *

Explain your cat's experience with dogs. Type NA if not applicable.

Be specific *

Have you ever owned a declawed cat? *

Have you ever owned a de-barked dog? *

Have you ever owned dog with a docked tail or cropped ears? *

Have you ever owned a special needs pet? *

Please explain: *

Have you ever bred an animal for:

Select all that apply *

No Fun Show Profit Accident

Please explain *

About Your Dog's Future

Do you travel a great deal? *

Where will your dog stay when you are on vacation? *

Home with house sitter At family member's home Home with daily checks At friend's home Kennel Unknown

How many hours per day on average will the dog be left alone? *

Where will your dog be during the day when you aren't home? *

Under the following conditions, would you KEEP or NOT KEEP your new dog?

You moved to a place that did not allow pets? *

You moved out of state? *

The dog sheds too much? *

The dog grew too big? *

Had problems with housebreaking? *

Your kids ignored the dog? *

The dog required prescription food or medication? *

The dog had seizures? *

The dog whines, cries or barks at night? *

The dog chews clothing or shoes? *

You had a new baby? *

You or someone in your household developed an allergy? *

Your other pets did not get along with this dog? *

This dog scratches/chews furniture? *

This dog pees on furniture? *

This dog bit or snapped at another animal? *

This dog bit or snapped at a personl? *

This dog barks too much? *

This dog escapes from your yard or house? *

You became divorced or separated? *

You became unemployed? *

Explain other situations when you would NOT keep this dog. *

What would you do if you could not keep this dog for any of the above reasons? *

Will you be able to live with stains on your furniture, stains on your rugs, and an animal that may be destructive at times? *

What TYPE of food will you feed this dog? *

What BRAND of food will you feed this dog? *

Your Commitment

Can you afford regular veterinary care for this dog - including yearly vaccinations, annual physical exams, dental care, etc. ($300 .00 or more)? *

Can you afford serious injury or illness costs ($1,000.00)? *

ATTENTION!

YOU ARE MAKING A MAJOR COMMITMENT WHEN YOU ADOPT ANY PET. PLEASE REMEMBER THAT DOGS CAN LIVE FOR OVER 20 OR MORE YEARS.

THOUSANDS OF DOGS ARE KILLED AT ANIMAL SHELTERS EACH YEAR BECAUSE THEIR OWNERS DID NOT PLAN FOR THE FUTURE.

DOGS CAN GET SICK AND REQUIRE EXPENSIVE MEDICAL TREATMENT DURING THE COURSE OF THEIR LIFE. DOGS NEED AFFECTION, ATTENTION AND UNDERSTANDING. YOU MAY HAVE TO ADJUST YOUR LIFESTYLE TO ACCOMMODATE A NEW PET.

ADOPTIONS REQUIRE A HOME DELIVERY AND HOME INSPECTION. I AGREE AND CONSENT TO HAVE A VOLUNTEER DELIVER MY PET TO MY HOME IN THE EVENT MY APPLICATION IS ACCEPTED.

IF YOU ARE READY TO MAKE THIS COMMITMENT, Type your initials here. *

Thank you for taking the time to complete this application.

PLEASE NOTE: Filling out this application DOES NOT guarantee an adoption. We have thoroughly evaluated all of the animals in our care, and try very hard to match the right pet to the right person and situation. Adoptions are not on a first-come first-served basis. We reserve the right not to adopt.

Please allow 3-4 days to process application. We will reply to your application as soon as it has been processed.

Thank you for considering a rescue dog.

Foreverhome Pet Rescue