Dog Adoption Application

The Farm Rescue Foundation Adoption Application
The Farm Rescue Foundation is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. The Farm Rescue Foundation 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 The Farm 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. The Farm Rescue Foundation reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Applicant Information
Name of the pet you are interested in:
Your full name:
Partners Name

First NameLast Name
Age range
Street Address:
City/Postal Code
Main Phone:

Area CodePhone Number
Alternate Phone:

Area CodePhone Number
E-mail:
Employer:
Character reference and phone number:
Household Information
Are all members of your household in agreement with this adoption?
Who will be the pet's primary caregiver?
Do you live in a

Other
Do you own or rent?
If rent, provide name and phone number of landlord:
Does your landlord allow pets?
Are there any restrictions from your landlord or subdivision?
Do you have a fully fenced yard?
Height and type of fence
Do you have any of the following?
How many adults are in your household?
Are their children living in the household? If so what are their ages?
Have your children been around animals before?
Does anyone in your home have allergies to dogs or have asthma?
Current/Previous Pet Information
List any current pets you have or have owned in the past five years, and their ages and breed
Where are these animals now?
Have you adopted from an animal welfare group before?
If yes, what group?
Have you ever given up a pet?
If yes, what were the circumstances?
Do you currently have a veterinarian you use and if so please provide the name of your veterinarian or clinic:
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)
Are you prepared to visit a professional groomer every 8 weeks if the dog requires it?
Do you plan on crating the dog?
How many hours each day will your new pet be home alone?
Where will your new pet sleep at night?
Do you want a dog to be off leash?
Where will your new pet stay when nobody is home?
What issues are you not willing to work though? (house soiling, separation anxiety, aggression ect..)
Do you understand that a dog can be an 18 year commitment, and can cost $800 - $2000 per year to care for?
Do you plan to take an obedience class with your dog?
If yes, where?
How did you find out about The Farm Rescue Foundation?

Other
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Should be Empty:

The Farm Rescue Foundation Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information