Adoption Interest Form

Name*

First NameLast Name

Date*

Date

Work Number

Area CodePhone Number

Cell Phone Number*

Area CodePhone Number

Occupation*

I live on the island of Oahu*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Age of applicant: *

Who referred you/How did you hear about us?

Name of dog you're interested in*

Instagram Handle:

Email*

example@example.com

# of Adults (18+)*

# of Kids (under 18)*

Ages (if under 18)*

Is anyone in the home allergic to dogs? If yes, who?*

Is anyone in your household pregnant or expecting in the next year?

YesNo

Do you live in a:*

How long have you lived at this address?*

Do you:*

OwnRent

Describe your yard:*

Fenced YardPartially Fenced YardNo Yard

Are there pet restrictions? If yes, what are they?*

I have permission from my landlord to have a pet.

YesNoOther

If you move out of state, do you plan to take your pet with you?*

YesNo

Please describe the accommodations you will take to transport your pet out of state.

Please list all of you current pets.

Rows	Name	Type	Breed	Age	M/F	Altered?	How long owned?	Size/Weight
1
2
3
4
5

Are your current pets up to date on vaccines?

YesNo

Who will be the primary caretaker of your dog(s)? Please describe their schedule.*

Who will care for your pet when you are out of town and what is their relationship to you?*

Please describe your past experience caring for dogs and the types of dogs you've cared for:*

What happened to him/her?*

Do you plan on taking your pet to obedience training classes?*

YesNo

If no, please explain. (N/A if you answered yes to above question)

How many hours/day will this dog spend WITHOUT a human and where will you keep him/her?*

Please describe where your pet will sleep at night.*

What situations do you feel unprepared for?*

Which veterinarian will you take your pet to?*

Are you prepared to handle the expense of caring for them?*

YesNo

I agree to keep my pet as a companion and not as an outdoor pet.

Yes I agreeNo I do not agreeOther

Please tell us anything else you feel is important when making the decision to have a pet:*

Have you rehomed a pet? If so, please explain circumstances:

Do you plan to travel in the near future?*

If yes, please state where and the dates you will be traveling.*

Please list two references NOT RELATED TO YOU: 1 personal reference & 1 pet reference (previous shelter, groomer, trainer, etc. If you don't have a pet ref., then list a personal ref.) Include time zone if not local.*

Rows	Full Name	Relationship	Phone Number	Time Zone
Personal Reference
Pet/Personal Reference

I am aware of the Adoption Fee of $400 for puppies under 6 months and $300 for any pups over 6 months, and the required items necessary to have in my possession before the pet will be released to my care. This includes food, bowls, crate, & leash. There will be NO REFUNDS for the adoption fee.*

YesNo

Are you interested in Fostering to Adopt the dog you are applying for?*

YesNo

I have permission from my landlord to foster.*

YesNo

As a foster, you are required to have your own transportation. All foster dogs must be transported in a pet carrier, crate, or restrained with a safety belt. At no point should your foster dog be free-roaming while in transport.*

I understandI don't understand

I agree to keep track of my foster dogs vaccination and medical schedule. I will keep in contact with FAF coordinator to schedule new vet appointments and refill monthly preventative medications. I understand that my foster dog must be fully vaccinated before allowing him/her in public.*

YesNo

Foster dogs will always be supervised when in my yard or outdoors. I will not leave my foster unattended.*

I agreeI don't agree

I understand that some dogs take days, if not weeks to adjust to a new home. I agree to slowly introduce foster pup to new people, places, and things.*

YesNo

What supplies can you provide your foster pup? Please list all items below. **

I agree to indemnify and hold harmless FAF, its officers, directors, agents, successors, assigns, all members of FAF from and against any and all demands, claims, causes of action or judgments, and any and all expenses (including, without limitation, reasonable attorneys fees) incurred in connection with this agreement, including, without limitation, claims of any third party for injury to person, loss of life, or damage to property.*

YesNo

I hereby understand and agree that FAF makes no representations, guarantees or warranties, expressed or implied, about the foster animal(s) mentioned above temperament and is hereby absolved from any liability for future damages or injuries caused by said animal.*

YesNo

I agree to care for the pet in a humane and responsible manner and to provide clean and adequate shelter, food, fresh water and veterinary care. If I determine in good faith that the foster animal is in need of emergency veterinary care, I will contact FAF immediately at 808.763.8662 and take him/her to the nearest veterinary clinic. Cost of emergency vet care will be paid for by applicant and FAF on a case by case basis.*

YesNo

I further agree that the pet shall reside inside my home and shall not be allowed to roam freely. I agree to contact FAF in the event that I can no longer adequately care for said animal and will notify FAF immediately if there are any changes to the above information. I or FAF reserves the right to terminate this agreement with or without cause in the sole discretion of either party.*

YesNo

Spay/Neuter Policy: ALL FAF dogs are spayed/neutered before adoption. Exceptions are made only for medical issues preventing surgery, and will be confirmed by our vets. As a foster, I agree to make my foster dog to their appointment as scheduled by FAF coordinator.*

I agree to the spay/neuter policy.

Safety procedures: If you need to return your foster for any reason, please notify FAF as soon as possible. Please understand that we try our best to find an immediate replacement foster, but it may take up to 7 days or more. You will be expected to care for your foster until we find a replacement.*

YesNo

I agree to use proper walking harness or martingale collar at all times if outdoors. If I do not have one, one will be provided. All fosters will wear an ID collar or tag at all times. This collar is for identification ONLY. Foster pet must wear a harness or martingale collar with attached leash whenever leaving the foster home.*

YesNo

Lost Dog Policy: We as the foster family will keep ID collar on at all times. If we lose our foster dog we will make a good effort to find him/her (I.e. search surrounding areas, ask neighbors, post fliers, and contact FAF immediately, etc.)*

I understand and agree to follow the lost dog policy as described.

Emergency contact procedures: Call FAF immediately at 808.763.8662. If foster pet is in need of immediate emergency care please use discretion and bring the foster pet to the nearest hospital. Cost of emergency vet care will be paid for by foster family and FAF on a case by case basis.*

I understand and agree to follow the emergency contact procedures as described.

Foster parent acknowledges that they will be liable to pay for any medical bills and any other expenses incurred, should their foster dog be harmed or cause harm, due to negligence. (Including but not limited to: reward no less than $100 should their foster dog be lost, medical bills of other dogs or persons as a result of harm inflicted by the foster dog, supplies/materials used to recover lost/missing foster dog, etc.) All responsibility for the foster pet will lie solely with "Primary caregiver". Foster parent is solely liable for the well-being of the foster pet. No other persons are authorized by FAF to provide care for the foster pet unless specified on the foster agreement under "Secondary caregiver".*

I agree and understand these conditions of being a Foster parent with FAF

As a FAF Foster Parent, I agree to the following:*

Keep ID tags and collar on foster pet at all timesBring foster pet to appointments for spay/neuter, vaccines, medication/treatment or to potential family home for adoption transfer.Contact FAF via 808-763-8662 and/or furangelfoundation@gmail.com immediately if medical attention is needed for the petKeep the pet safe, happy, and healthy while in my careKeep property/equipment/supplies owned by FAF in "like" condition, and return cleaned for future foster pets.

Have you ever been convicted of a felony?*

yesno

If yes, please explain:

I have read and understand the statements above and certify that the information in this application is true and correct.

By signing this document, you recognize that this application is only an inquiry to adopt and there is no guarantee of adoption.

Digital Signature*

First NameLast Name

Date*

Date

If you do not receive a reply email within 72 hours of submission:

I will check my SPAM folder!!I will text FAF to follow up

Adoption Interest Form

Household Information