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Fort Worth Abandoned Animal Alliance Adoption Application

Working together to save lives
Fort Worth Abandoned Animal Alliance (FWAAA) is an all-volunteer, non-profit, animal welfare organization dedicated to saving lives and reducing the number of abandoned, homeless, hurt and temporarily displaced animals in the community. FWAAA 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, spaying/neutering and microchipping prior to their adoption.
This questionnaire is designed to help FWAAA 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. FWAAA reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Applicant Information
Name of the dog you are interested in: *
Applicant name: *
Co-applicant name:
Your age: *
Street Address: *
City, State, Zip *
Home Phone: *

- Area Code Phone Number
Work Phone:

- Area Code Phone Number
Cell Phone:

- Area Code Phone Number
E-mail: *
Employer:
Character reference and phone number: *
Household Information
Are all members of your household in agreement with this adoption? *

Yes No Don't Know
Who will be the pet's primary caregiver? *
Yearly income: *

Under $25,000 $25,000 to $35,000 $35,000 to $45,000 $45,000 to $55,000 $55,000 to $65,000 $70,000 and above
Do you live in a *

House Apartment Condo Mobile Home
Do you own or rent? *

Own Rent
Approximate square footage of your home *

Less than 800 square feet 800-1,000 square feet 1,000-1,500 square feet 1,500-2,000 square feet Over 2,000 square feet
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?

Yes No
Are there any restrictions from your landlord or subdivision? *

Number of pets Size or weight restrictions Breed restrictions None
Do you have a fully fenced yard? *

Yes No
Height and type of fence *
Do you have any of the following?

Underground fence Kennel Dog Run
How many adults are in your household? *
How many children are in your household? *
If children, what are their ages?
Have your children been around animals before?

Yes No
Does anyone in your home have allergies to dogs or have asthma? *

Yes No
Current/Previous Pet Information
Do you have an pets currently? *

Yes No
List any pets you own or have owned in the past five years, and their ages
Where are these animals now?
Are all current pets spayed/neutered?
If your current pets are not spayed/neutered, please explain why.
Are all current pets up to date on age appropriate vaccinations?
If your current pets are not vaccinated, please explain why.
Are all current pets on flea/tick and heartworm preventative?
If your current pets are not on flea/tick and heartworm preventative, please explain why.
Have you adopted from an animal welfare group before?

Yes No
If yes, what group?
Have you ever given up a pet? *

Yes No
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian/clinic (please call your vet and give permission to release information to us) : *
New Pet Information
What is your primary reason for adopting a pet?( i.e. companion, guard animal, fighting, hunting, etc.) *
Please check all that apply. My adopted pet will... *

Be kept outside most of the time Be kept indoors most of the time Be left outside during the work day while we are away Be kept inside while we are away Be crated when we are not home Have free reign of the house when we are not home Be kept on a lead line/cable in the yard Must be housebroken prior to adoption Will be housetrained by us Be taken to formal obedience classes Have private sessions with a trainer as needed Be trained by me/us Be mostly interacting with adults Be interacting frequently with children under 8 Be interacting frequently with older children We be walked more than one mile per day every day Will be walked occasionally Will not be walked Be attending agility classes Be boarded when we go on vacation Stay with family when we go on vacation Take frequent car rides with us Be going camping with us Be going on boat trips with us
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato) *
Are you aware of crate training? *

Yes No
What brand of food do you plan to feed your new pet? *
How much do you feel is a reasonable amount for yearly expenses on your new pet? *
How much do you feel is reasonable for an unexpected medical expense for your new pet yearly? *
What do you feel would ever make you return your new pet? *
How long do you feel is reasonable for an animal to settle into your home? *
Have you ever house-broken a dog or puppy before? *

Yes No
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 dog stay when nobody is home? *
Where will your new pet sleep at night? *
How will you supervise the dog's outdoor activity? *
What length of time will you allow your new pet to adjust to his new home? *
How do you plan to integrate this dog into your family? *
Are you willing to work through your new pet's issues, if any? *

Yes No
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior? *

Yes No
Do you understand that a dog can be an 18 year commitment, and can cost $500 - $1,000 per year for basic care? *

Yes No
Do you plan to take an obedience class with your dog? *

Yes No Not 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? *

Yes No
What circumstances would lead you to give up your new dog? *
What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the pet? *

Housebreaking Chewing Jumping Pulling on leash during walks Counter surfing Fear of men Fear of women Fear of children Mouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training) Whining/crying Growling Barking Rough play with my dog High activity level Food/toy aggression/not willing to share with other dogs Food/toy aggression with people Blindness Limited Sight Deafness Separation Anxiety Diabetes Special Diet Long Term Medication Incontinence / Leaking Urine Gets stressed/carsick when riding in vehicle Heart condition Skin allergies Food allergies Trimming nails Yeast on coat or in ears Ear mites Fleas Ticks Heartworm preventative Annual heartworm/lyme combo testing I will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.
If you had to give up your dog, what would you do with him/her? *
How did you find out about Fort Worth Abandoned Animal Alliance Rescue? *

Adoptapet.com Petfinder.com Facebook Friend/Family Member Other website PetSmart
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
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Fort Worth Abandoned Animal Alliance Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information