Dog Adoption Application

Full Name
Age
Occupation
Co-Applicant (spouse)
Co-Applicant Age
Co-Applicant Occupation
Street Address
City
County
State
Zip Code
Phone Number - Home
Phone Number - Cell
Email Address
What is the most convenient way for us to contact you? (E-mail, phone, hours)
What is the name of the dog(s) you are interested in?
Please describe in detail the dog you are looking to adopt:
List any general questions you would like to ask about this particular pet:
Are you willing to allow a representative from our rescue organization to visit your home by appointment?
Please check the primary reason for adopting this pet.
Please indicate where you live:
Do you rent or own?
If you rent, do you have the landlord's permission to own a pet? If so, please provide their name, telephone number, and amount of dep deposit.
How many times have you moved in the past 5 years?
If you were to move, what would you do with your pet?
Do you have a pool, lake, or other body of water on your property? If so, please elaborate.
Do you have a fully fenced yard with no fence gaps?
If yes, please describe, in detail, your yard and the fence surrounding it. (i.e. height, chainlink, wood, invisible etc.)
How do you plan to exercise your dog?
Number of adults in household and relationship(s), spouse roommate, partner, etc.
Does anyone in the household smoke or have serious health problems? If yes, please descibe.
Will this pet be a surprise for any family members? If so, who?
Do any family members have allergies? If so, please elaborate.
Do any children live in the house or visit frequently? If yes, please elaborate (ages, genders, etc.)
Please describe any major changes you foresee in your life in the next 15 years (average lifespan of a dog), such as marriage, children, health problems due to age, college:
Please tell us about all of your current pets. Include name, species, breed, gender, age, spayed/neutered, years with family, temperament, and where (s)he spends most of his time. IT IS IMPORTANT THAT YOU INCLUDE ALL OF THIS INFORMATION.
Please tell us about all of previous pets. Include name, species, breed, gender, and age. Please list why they are no longer in your care (put to sleep, old age, runover, sold, etc.). IT IS IMPORTANT THAT YOU INCLUDE ALL OF THIS INFORMATION.
Do any of your current pets or previous pets live primarily outdoors? If yes, please describe the pet and circumstances.
Please tell us what you know about heartworm disease and how to prevent it.
Is your current or past pet(s) on heartworm prevention medication? If so, how often do you give the medication and what brand do you use?
Please provide information about your veterinarian(s) over the past 5 years. Include name of animal hospital/clinic, city/state, phone number, whose name pet(s) are listed under. IT IS IMPORTANT THAT YOU INCLUDE ALL OF THIS INFORMATION.
How much do you expect annual pet care (vet care, food, medication, etc.) to cost ?
Have you ever given up a dog or had a dog a brief period of time? If any, please describe what happened to each of them (put to sleep, run over, died of old age, sold, given away, ran away, etc.)
How do you plan to prevent fleas and ticks?
If your pet develops incontinence as (s)he ages and can no longer "hold it" when left alone, what would you do?
Has a dog/puppy died on your premises in the last 6 months? If so, please explain.
How many hours will the pet be home alone on a typical day?
Where will your new pet stay when home alone during the day?
If Other, please describe:
Where will the new pet sleep at night?
If other, please describe
What percentage of time will the pet spend outside the house? Please explain.
Have you ever had a behavioral problem with a previous pet? If yes, please describe the behavior and measures you took to resolve it.
Do you have a doggie door?
Under what circumstances do you feel it is ok to let your dog off leash? Please elaborate.
Are you willing to keep a collar and ID tag on all of your pets including a new pet at all times?
What circumstance, in your mind, justifies giving a pet up? (moving, new baby, allergies, divorce, too big, sheds, aggressive, housebreaking issues, etc.)
Have you ever given a pet up or had a pet for a brief period of time and it didn't work out? If so, please explain.
Do you have applications pending with any other rescue groups/shelters? If so, please explain.
If you are unable to keep your pet for any reason at any time will you return the pet to us?
Suppose your new pet develops a medical issue i.e. $700 knee surgery, $25/month eye ointment, but (s)he is still happy and healthy what would you do?
What type of food will you feed?
Please descibe your plans for training your new dog (i.e. group classes, do-it-yourself, private instruction)
If your new dog/puppy is not housebroken, what method will you use to train it?
Please provide the name, phone number, and address of at least one personal reference (no significant others):
Have you attended a SDR/Furkids adoption event or have you adopted from us in the past, please elaborate.
Typing your name will serve as legal signature. By signing, I am attesting to the truthfulness of my answers. Falsification of any of the above information will be grounds for disallowing the adoption of rescue pet and possible removal of said pet.
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