Dog Adoption Application

Furry Friends Rescue, Inc.

Dog Adoption Application
Furry Friends Rescue is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. Furry Friends Rescue is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive complete medical care, which includes worming, vaccinations, heartworm testing and preventative, spaying/neutering and microchipping prior to their adoption.
This questionnaire is designed to help Furry Friends Rescue and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Furry Friends Rescue reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Applicant Information
Date

MonthDayYear
Date
Name of the dog you are interested in:*
Your full name:*
Co-Adopter/Spouse Name:*
Your age:*
Street Address:*
City, State, Zip*
How long have you lived at the above address?
Mobile Phone:*

Area CodePhone Number
Work Phone:

Area CodePhone Number
Home Phone:

Area CodePhone Number
E-mail:*
Employer:
Name of Friend or relative and phone number:
Household Information
Do you live in: *

ApartmentHouseCondoMobile HomeRetirement Community
Do you own or rent?*

Rent (if you rent answer the next questions)Own
If rent, provide name and PHONE number of landlord or management office:
FFR will call to verify pet policy
If you own or rent a home are there restrictions in your neighborhood?*

Number of petsSize or weight restrictionsBreed restrictionsFencesNone
Do you have a fully fenced yard?*

YesNo
Height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your household?*
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs or cats?*

YesNo
Who will be the pet's primary caregiver?*
Current/Previous Pet Information
List any pets you own or have owned in the past five years; type, breed and their ages.
(ex: Dog: Chiweenie, 2 years old; Cats: Siamese, 5 yrs and gray tabby 3 yrs old)
How many of these pets are spayed/neutered?
Where are these animals now?
Have you adopted from an animal welfare group before?

YesNo
If yes, what group?
Have you ever given up a pet?

YesNo
If yes, what were the circumstances?
What heartworm preventative do you use/have used?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:. FFR will call to verify vaccines.
Please include a phone number
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Are you aware of crate training?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use?*
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a dog can be an 18 year commitment, and can cost $500 - $1500 per year to care for?*

YesNo
Do you plan to take an obedience class with your dog?*

YesNoNot sure
If yes, where?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
What circumstances would lead you to give up your new dog?*
How did you find out about Furry Friends Rescue?*

PetcoTractor SupplyPetfinder.comFacebookFriend/Family MemberOther WebsiteOther
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Signature

Clear
Should be Empty:

Furry Friends Rescue, Inc.

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information