- ADOPTION AND FOSTER APPLICATION -
Date: _______________ Name: ___________________________________ DOB: _______________ Driver’s License #: _________________________ Address: ____________________________________ City: ______________ Zip: __________ Length of Residency at Above Address: ____________________ Home Phone: _______________ Email Address: ________________________________________________ Employer: _______________________________________ Job Title: ______________________ Work Phone: ________________
1. I am looking to: [Adopt, Foster] 2. I am interested in: [List a specific dog or indicate ‘undecided’] 3. If undecided: are you looking for: [Puppy, Dog, Either] 4. Would you prefer a: [Female, Male, Either] 5. Is this pet for a gift? [Yes, No] If yes, list name of recipient and their age 6. Reason for wanting a pet (list as many as apply): [Watchdog, Child’s Pet, Companion, Breeding, Family Pet, Hunting, Companion for other pet, Other] 7. Would this pet be: [Inside, Outside, Inside/Outside] 8. If outdoors, what type of shelter would you provide? [Describe] 9. Where would this animal sleep? [Describe] 10. Where will you keep your pet while gone? [Describe] 11. Number of members in household: [List] 12. Name(s) and date(s) of birth if other adult(s) in household (if applicable): [List] 13. Ages of children in household (please include even if only occasionally in residence: [List] 14. Have you or any member of your household been convicted of a crime against animals? [Yes, No] 15. Other pets (please list type, how many, ages and where housed): [List] 16. Have you had pets in the past (other than listed above)? [Yes, No] If yes, where are they now? [Describe] 17. Name and phone number of Veterinarian: [List] 18. Will you spay or neuter this pet? [Yes, No] 19. If this pet becomes ill or injured, are you able and willing to spend $500 or more for veterinary care: [Yes, No] 20. Do you or anyone in your household have allergies or asthma? [Yes, No] If yes, please explain: 21. Which of the following best describes your home? [House, Apartment , Condo, Farm, Mobile, Dorm] 22. Do you? [Own, Rent] If you rent, does your landlord allow pets? [Yes, No] 23. Do you have a fenced yard? [Yes, No] 24. How do you plan to exercise a new dog? [Describe] 25. Name, address and phone number of two references [List]  |