Date*

Animal's Name

Name*

Street Address*

City*

State*

Zip Code*

Email*

Phone*

Mobile Phone

Emergency Contact Name and Phone*

Residence*

Home Ownership*

Pets Allowed in Building*

Yes

Occupations*

Work Schedule*

Times When Someone Will By Home*

Times When Pet Will be Alone*

How long will the pet typically be alone in a 24hr period?*

Your New Pet's Home Environment

Where will this pet spend most of their time?*

If "Other", please provide details.

Where will this pet stay when you are not home?*

If "Other", please provide details.

Where will your new pet's main sleeping quarters be?*

Do You Have a Doggie Door?*

Yes

When you are at home, your new pet would be:*

If your dog will be outside at all, what outside space is available for the dog?*

If "Fenced" or "Other" please provide details.

How long are you willing to give this dog to bond with you and settle into his/her new home?*

If less than a month, why?

Will you add your pet to your Will? *

What provisions could you make if you travel a great deal? Note, we board dogs.*

What provisions would be made for your new pet if you had to move to a place where no pets were allowed?*

Under what circumstances would you not keep your new pet?*

If your pet became destructive to your home, what would you do?*

What would you do with your new pet if you could no longer care for him/her?*

Please list all family members and their relationship, that will be living with the pet. If there are children, please list their ages.*

Current Companion Animals (all other pets in household)

Type / Breed, Age, Sex

Spayed/ Neutered ?

Vaccinated ?

Type / Breed, Age, Sex

Spayed/Neutered ?

Vaccinated ?

Type / Breed, Age, Sex

Spayed/Neutered ?

Vaccinated ?

Please give us a brief statement of your dog experience:*

Have you ever trained a dog in obedience classes?

Would you consider training for any issues that arise?

What issues will you NOT deal with?

Is there anything else you would like to tell us about yourself or your home environment?

Your Family Veterinarian

Veterinarian Name*

Phone*

Address of 24 hour veterinary service in your area.

References

Please list two personal references and their relationship to you.

Reference 1 - Name*

Relationship*

Phone*

Reference 2 - Name*

Relationship*

Phone*

All of the information I have provided in this application is true and correct. If any of the information changes, I will advise Forgotten Paws Animal Rescue promptly.

Check Each Statement Below

I understand I am committing to care for this animal and have it as part of my family for it's entire, natural life, which can be up to 20 years for a small dog.

I am financially able to provide for the animal's needs. This includes, food, supplies, shelter, veterinary care and parasite prevention, which can be approximately $1,000 per year. I am also aware emergency care can be up to $3,000 or more per episode.

I have adequate time to spend with my new pet. Including time for training, exercise and grooming, as needed.

I understand that if I move, my pet will make the move with me.

I understand I must comply with all state and local ordinances concerning pet licensing and vaccinations.

Forgotten Paws Animal Rescue

Adoption Application

Forgotten Paws Animal Rescue Adoption Application

Your New Pet's Home Environment

Current Companion Animals (all other pets in household)

Your Family Veterinarian

References