Dog Adoption Application

Name of the animal you are applying for: (required)

Age/Breed: (required)

Have you visited this pet? (required)
YesNo

If so, when was the first visit?

Which employee or volunteer helped show the animal to you?

Date of this application: (required)

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 today, 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.

Name (required)

Date of Birth: (required)

Drivers License/ID Number

Address (required)

Address line 2

City (required)

State (required)

Zip (required)

Preferred phone number: (required)

Preferred phone type (required)
HomeCellOther

Secondary phone number:

Secondary phone type
HomeCellOther

Email (required)

Employer

Occupation

Work phone:

Spouse's Name:

Spouse's Employer:

Spouse's Occupation:

Check all that apply to you (required)
StudentEmployedRetiredDisabled

Description of Residence (required)
HomeMobile HomeDuplexCondoApartmentOther

Do you: (required)
RentOwn

Do you have a size or weight limit? (required)
YesNo

What is the length of time at your current residence? (required)

Do you live with your parents? (required)
YesNo

Do you live with a non-relative? (required)
YesNo

Number of adults in your household (required)

Number of and ages of children in household (If no children, type 0) (required)

Have all of the members of the household, including children, visited with the pet you are applying for? (required)
YesNoNot all of them

Do any children/grandchildren visit your home frequently? (required)
NoDailyWeeklyMonthlyYearly

Does anyone in the home have asthma or breathing difficulties? If yes, please explain. (required)

Are you willing to let a Fuzzy Friends representative visit your home? (required)
YesNo

Who will support this dog financially? (required)

Who will be the primary caregiver for the dog? (required)

How long have you considered adopting a pet? (required)

What attracted you to this dog? (required)

How will you handle the dog’s exercise and toilet duties? (required)

Does your home have a dog/cat door? (required)
YesNo

Do you have a fence? (required)
YesNo

How much time will the dog spend inside versus outside? (required)

How much of the outside time will be supervised? (required)

Is there shelter available outside? (required)
YesNo

When outside, how will the dog be kept secure (from escaping or from predators such as hawks, coyotes, etc.)? (required)

Does your home have a Pool? (required)
YesNo

On average how many hours will this animal spend alone each day? (required)

Where will this dog stay when you are not home: Daily? (required)

For overnight travel? (required)

Where will this animal sleep at night? (required)

What reasons would YOU give up a pet? This will help us match you with a pet that will meet your expectations. (Please note how severe the problem would have to be to lead to relinquishing the pet, i.e. vet bills over $100/$1,000/$10,000.) (required)

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? (required)
YesNo

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? (required)

Have you ever adopted a pet before? If yes, where from? (required)

Have you ever had to give up a pet? If yes, why? (required)

How many pets do you currently have in your household? (required)

Please tell us about the pets you currently have in your household. For each animal, list species/breed, name, age, and gender. (required)

Please tell us about your previous pets (within the last 10 years), including species/breed, name, age, gender, and why you no longer have them: (required)

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 ffr1@sbcglobal.net 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 all veterinarians you have used on all pets above for PREVENTIVE CARE (vaccines, heartworm/flea prevention), starting with the most recent. Include the vet's name, address and phone number. **Applications for puppies under 8 months old require 2 years worth of verifiable vet records in the applicant's name to be considered. (required)

Please list all veterinarians you have used on all pets above for OTHER MEDICAL CARE (if different from above), starting with the most recent. Include the vet's name, address and phone number.

Are all your current pets spayed or neutered? (required)
YesNoSomeNo pets

Were all your previous pets spayed or neutered? (required)
YesNoSomeNo pets

Are all the pets in your household current on core vaccines? (required)
YesNoSomeNo pets

Are all the dogs in your household on heartworm prevention? (required)
YesNoSomeNo dogs

Please tell us what you know about the causes of heartworms: (required)

When/why was your last Vet visit? (required)

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. Please type your name. (required)

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 (required)

Where did you hear about Fuzzy Friends? (required)

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. Please type your name: (required)

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 (required)

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. Please type your name: (required)

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