First Name *
Last Name *
Street Address *
City *
State *
Zip Code
Home Phone *
Mobil Phone
Work Phone
E-mail Address: *
Name of pet
that you are interested in *
Have you owned
this breed before? *
Yes
No
What is special
about this pet to you?
Are mixes ok?
Yes
No
What age pet
are you looking for?
Puppy (0-1 yr.)
Young (1-2 yr.)
Adult (2-7 yr.)
Senior (7-12+ yr.)
No preference
Do you prefer
a male or female?
No preference
Male
Female
Specify your
ideal qualities in a pet
High energy
Medium energy
Mild
Good with children
Vocal
Quiet
Loyal
Independent
What behavior(s)
are unacceptable?
Your age
Your occupation *
Name and age(s)
of other adult live ins *
Name and age(s)
of all minor live ins *
Do other children
visit you on a regular basis? *
Yes
No
Primary caretaker
of pet
Specify housing
circumstances *
Apartment
Lease home
Own home
Live with relatives/friends
If you rent
or lease, please provide the landlords Name Address and
Phone number
Does anyone
at home have pet allergies?
Yes
No
Do you have
a yard? *
Yes
No
Is your yard
securley fenced?
Yes
No
What material
is the fencing?
What other
facilities and opportunities do you have for exercising
a playful or active dog?
Where will
the dog spend most of its time
House
Yard
Kennel
Room
Cage/Crate
Other
If Other please
specify
Where will
pet sleep at night? *
Where will
the dog be kept while you are away and the pet is left
alone? (run of the house, kennel, crate, yard, etc, Please
be specific) *
Are there any
areas of the house that will be off-limits to the dog?
How long will
your pet be alone each day? *
0-3 hrs.
3-6 hrs.
6-8 hrs.
8-10 hrs.
10+ hrs.
What will you
feed your pet?
How often?
Tell us as
much as you can about your current pets Type, Breed, Age,
Sex, Altered, Inside/Outside? How long owned? *
Name, Address,
Phone Number of your Vet *
Other clinics/care
facilities you have used.
Do you have
any experience training, grooming, Sitting, etc. *
Do you have
any experience with neglected or abused animals?
Are you prepared
to be financially responsible for the care of this pet?
(Yearly vaccines, food, grooming, emergency Medical treatments
etc.) *
Yes
No
Have you ever
surrendered an animal? If yes please explain. *
For what reason
would you give up your animal? *
Are you aware
that a rescue dog may not be fully house trained at the
time of placement? Are you equipped to train with love
and patience? *
It is understood
that a dog adopted from FFRA is to be an indoor dog and
treated as a member of the family, and is NEVER to be tied
up outside. *
I understand
It is understood
that if, for any reason, you find you can no longer care
for your adopted dog, it is to be returned to Forgotten
Friends Rescue at the adoptive owners expense. And Forgotten
Friends Rescue also retains the rights to remove a dog
adopted from us that has been deemed, Abused, Neglected
or otherwise in danger in its new situation *
I understand
I understand
it may take a few weeks for a rescue pet to adapt to a
new home. *
I understand
We request
a donation fee be made for the pets we adopt in your care
in the amount stated on our Website to help defray veterinary
and maintenance expenses. Are you willing to do so? *
Yes
No
Would you object
to a home visit by one of our members, by appointment,
Prior to and after any adoption? *
Yes
No
Additional
comments
Signed (type
your name) *
Date *
We
also recommend that you take your new pet to Your Veterinarian
within the first two weeks to establish its record when
adopted
to prevent any problems should an emergency arise
Please
Read Be fore Submitting
If
accepted as an adopter, I have read, understand and agree
to abide
by all terms set forth in this application, by returning
this application electronically I agree to accept it
as a contract IFa dog is adopted to me.
* Required