First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Cell Phone
All applicants please complete the Pet of Interest, Personal Information, References and Signature sections of this application. Also complete the section(s) for your preference as indicated below.
Pet of Interest:
What is the name of the animal that you are interested in?*
If there is no specific animal, please give a description of the animal, including temperament, gender, breed and adult size that you are interested in:
Personal Information:
What type of home to you live in?*
How long have you lived at your current address?*
Is your yard fenced?
Do you have a pool?
Do you rent or own your home?*
If renting, please provide the name, address, phone number and email address of your landlord.*
Please explain any lease or homeowners association pet rules*
Where will the pet be kept?*
How much time will the pet spend alone during the day?*
Where will the pet sleep?*
If you currently own any pets, please list species, sex, breed, age and tell us where your pets are now.
Are your current pets up to date on vaccinations?
Are your current pets sterilized?
Under what circumstances would you give up this pet?*
Foster and Foster to Adopt Applicants complete this section:
SAFPR fosters must be at least 21 years of age. Are you at least 21 years old?
Have you ever fostered before?
Are you able to transport the pet to adoption events, veterinarian appointments and meet-and-greets when necessary?
Adoption and Foster to Adopt Applicants complete this section:
Why do you want this pet?
How will the pet get exercise?
How will you let the dog out to eliminate?
Are there times when the pet will be tied up outside?
Will your new pet spend any time in the garage?
Will your new pet spend any time in the basement?
Are pets allowed on furniture?
If you drive a pickup truck, would you allow your pet to ride in the back?
If your new pet is a puppy, will someone be available mid-day to let the puppy out to eliminate and to feed it lunch?
Are you willing to housebreak a dog?
Are you familiar with crate training?
If you have done obedience training in the past, tell us when and where. What activities are you interested in doing with your new pet?
What activities are you interested in doing with your new pet?
What food would you or do you feed your pets?
Do you realize that when you adopt a pet you are making a long term commitment? (Most dogs that are well cared for can live 14 - 18 years)
If you move, will you take the pet with you?
If the newly adopted pet should need veterinary care in the future, would you be willing and able to pay for their operation, hospitalization, medications, etc.?
How much are you willing to spend on medical bills for your dog
What would you do if the vet bills go over this amount? Please consider pet insurance.
Do you agree to keep ID on your pet at all times?
What provisions will you make for this pet should you become unable to care for it?
What is your idea of disciplining a dog?
Are you aware that a rescue dog may have a history of abuse/neglect/unknown treatments and may have behavioral issues that require training, such as house training, toy/food aggression, etc?
Are you willing to provide the extra training, patience, and attention your new pet needs as they adjust to your family?
Are you willing to be dedicated to working through any problems, even if it requires outside help or training?
Describe all household members; name, age and relationship to Adopter.
Does any member of your household have an allergy to a dog?
If you have children, have they lived with a dog before?
Have they been taught to respect pets? If so, how?
Give the approximate work/school schedule for household members:
How much time will the pet spend alone during the day?
Where will the pet be kept when you are not home?
Would this be your first pet?
How do your current pets get along?
Will your pets accept the new pet?
How will you ease the new pet into the household?
Have you had any pets in the past?
Tell us about your previous pets; include name, how long you had each pet, what age they were when you got them, how the relationship ended.
Have all your pets been seen yearly by a veterinarian for a wellness exam- including all current and previous pets?
If not, which pets and why not.
References:
Veterinarian's name, email address and phone number:
List three personal references including one reference who is not a family member. Provide names, email address and phone number.*
Is there any other relevant information or additional comments you wish to share with us?
Please explain any reservations or limitation you may have.
Signature:
Date of Application:*
Applicant Signature:*
Date signed:*
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