Dog Adoption Application

Please read the ENTIRE information below before completing this application.

Name of the animal you are applying for: *

Age/Breed: *

Have you visited this pet? *

Yes

No

If so, when was the first visit?

Date of this application: *

Welcome to Fuzzy Friends Rescue. We are excited to have you here and thrilled you are interested in adopting one of our healthy and happy animals!

Please answer each question COMPLETELY and HONESTLY.

If any information is left blank, we will be unable to review your application. If you are approved to adopt the pet you are applying for, this application will become a part of your permanent adoption file.

Please understand that not all families and dogs/cats are compatible. We make every effort to match our animals’ personality traits with characteristics in which you have said you desire. Our goal is to match happy adopters with happy, healthy pets. We strive to place our animals in the best possible home.

***Fuzzy Friends Rescue has the right to deny adoption of any animal to anyone for any reason.***

COMPLETION OF THIS APPLICATION DOES NOT GUARANTEE ADOPTION OF A PET FROM OUR RESCUE.

In order to be considered as an adopter, you must:
• Be 21 years of age or older.
• Have a valid driver’s license or other photo ID showing your present address.
• Be able to verify that you can have a pet where you live if renting or living in someone else’s home.
• Be willing to accept financial responsibility necessary to provide the proper care for your adopted pet for its lifetime.

In order to be considered as an adopter of a puppy (under one-year-old) you must:
• Have a minimum of 2 years of veterinary history with your current or previous pet.

Fuzzy Friends Rescue Adoption Application

Name *

Drivers License Number

Date of Birth *

Address *

City *

State *

Zip *

Primary Contact Phone Number *

Secondary Contact Phone Number

Email Address *

Employer

Occupation

Work Phone

Spouse's Name

Spouse's Employer

Spouse's Occupation

Check all that apply to you *

Student

Employed

Retired

Disabled

Application Questions

If "Other" please explain

Do you: *

Rent

Own

If Apartment, please list the name of the apartment complex

If Rent, please list the property owner's name and their phone

If Rent, does your landlord allow pets?

Yes

No

Outside Only

Do you have a size or weight limit?

Yes

No

If yes, what is the size or weight limit?

If Rent, is a pet deposit required?

Yes

No

If yes, has it been paid?

Yes

No

If you rent, can proof be obtained that you are able to have a pet?

Yes

No

What is the length of time at your current residence? *

Do you live with your parents? *

Yes

No

Do you live with a non-relative? *

Yes

No

Number of adults in your household *

Number of and the ages of children in household

Have all members of the household, including children, visited with the pet you are applying for?

Yes

No

Not all of them

If you do not have children, do any young children/grandchildren visit your home frequently?

No

Yes, Daily

Yes, Weekly

Yes, Monthly

Yes, Yearly

Does anyone in the home have asthma or breathing difficulties? *

Yes

No

Are you willing to let a Fuzzy Friends representative visit your home? *

Yes

No

Who will support this dog financially? *

Who will be the primary caregiver for the dog? *

How long have you considered adopting a dog?

What attracted you to this dog?

How will you handle the dog's exercise and toilet duties?

Does your home have a dog/cat door? *

Yes

No

If yes, the door goes:

to Outside

to Garage

Other

Do you have a fence? *

Yes

No

if yes, please describe, including the type of gate and what area is enclosed: *

How much time will the dog spend inside versus outside? *

How much of the outside time will be supervised? *

Is there shelter available outside? *

Yes

No

If yes, please describe:

When outside, how will the dog be kept safe (from cars or from predators such as hawks, coyotes, etc.)? *

Does your home have a pool? *

Yes

No

Is the pool:

Above ground

In ground

covered

If you have a pool what safety plan do you have for your new pet? (Please describe)

On average how many hours will this animal spend alone each day? *

Where will this dog stay when you are not home during the day? *

Where will this dog stay when you are not home during overnight travel? *

Where will this animal sleep at night? *

What do you know about the cause of heartworms in dogs?

If other, please explain

Dogs can live to be in their 20s, depending on the breed; given the dog’s current age, do you anticipate being able to care for the dog for its entire life? *

Yes

No

If you become unable to care for this pet (due to death, severe illness, loss of income, change in living conditions, etc.) what would you do with him or her? *

Pet Ownership History

Have you ever adopted a pet before? *

Yes

No

If yes, where from?

Have you ever had to give up a pet? *

Yes

No

If yes, why?

Please let us know what pets you currently have in your household:

Type

Name

Age

Sex

Fixed?

Yes

No

Add Remove

Please tell us about your previous pets (within the last 10 years) and how long ago you had them:

Type

Name

Age

Sex

Fixed?

Yes

No

Add Remove

I have read and understand the entire application and by signing, I understand that FFR has the right to deny any application for any reason and reasons for denial will not be given. I am aware that there may be multiple applications on the animal I am interested in. FFR receives applications from multiple areas including fax, internet, and offsite. I certify that the above information is correct. I understand that false information may result in nullifying this adoption. By signing this application, I am certifying that I am at least 21 years of age and intend to be the legal owner and person responsible for the care and well being of this animal. I give representatives at Fuzzy Friends Rescue permission to contact my veterinarian, references and landlord in order to process this application. I also agree that I (we) will keep our animals current on vaccines and current on monthly heart worm prevention. *

By typing your name in this area you are stating the above information is true and correct to the best of your knowledge and this electronic form of signature will be treated the same as your original signature.

Date *

If I am approved to adopt, I understand that if for any reason this dog does not work out in my home, that I will contact Fuzzy Friends immediately. I will not give the dog away to anyone (except as previously specified on this application), nor sell him/her, but will contact FFR immediately for guidance. *

By typing your name in this area you are stating the above information is true and correct to the best of your knowledge and this electronic form of signature will be treated the same as your original signature.

Date *

Veterinary Reference

To speed up the processing time for the application, please provide us with copies of the veterinary records for your current/recent pets listed on the application. Records can be dropped off in person, emailed to volunteer@fuzzyfriendsrescue.com or faxed to 254-754-9959.

Alternately, we can attempt to contact the veterinarians to obtain records. Be advised that this could add several business days to the processing time.

Please list the veterinarians you have used for preventive care (vaccines, heartworm/flea prevention):

Please list the veterinarians you have used for other medical care, (if different from above):

Are all the dogs/cats in your household spayed or neutered?

Yes

No

Are all the dogs/cats in your household current on core vaccinations?

Yes

No

Are all the dogs/cats in your household on heartworm prevention?

Yes

No

If no, why not?

If yes, what kind, and where is it purchased?

When was the last dosage given?

Have all of the cats in your household tested negative for FeLV and FIV?

Yes

No

When/why was your last Vet visit? *

Release for Veterinary reference: I hereby give permission for any veterinarian providing service to me to release medical information on any/all of my animals to Fuzzy Friends Rescue, including the pet I’m adopting at this time for follow-up purposes in the case of existing conditions or simply well check and heartworm prevention status.

By typing your name in this area you are stating the above information is true and correct to the best of your knowledge and this electronic form of signature will be treated the same as your original signature.

Date

reCAPTCHA