Please mail to: fhdrwa@gmail.com


Date:

Name of Dog I am interested in Adopting

Before we introduce you to one of our dogs, we need to review your application to make sure the dog will fit your home and lifestyle.  

Why do you want to adopt a rescue dog?
 
? Companionship
? Watch Dog
? Company for my current pet
? A gift for:
? Other please explain:
 
 
Part 1:  Personal Information
Name:
Spouse Name:
Address:
City, State & Zip:
 
Evening phone:       Day phone:  
E-mail Address:
 
Employer Name:
Spouse’s Employer:
 
How did you hear about Forever Home Pet Rescue?  
 
Number of adults in household: Number of children:
Men: Ages: Boys: Ages:
Woman: Ages: Girls: Ages:

Are all your family members in favor of adopting a rescue dog? ?  Yes   ?  No
 
Is anyone in your household allergic to animals?  ?  Yes   ?  No

 
Type of dwelling you live in:
 
? House
? Apartment
? Condo/Townhouse
? Trailer
? Other (please specify)
 
Do you rent or own? ?  Own ?  Rent

If you rent, do you have the landlord’s permission to keep a dog? ?  Yes  ?  No

If you rent, provide the name and contact number of your current landlord:


How long have you lived at your current address?
 
Are you planning on moving in the near future?

How many consecutive hours a day are you away from home for work, school, etc?

Will you be hiring a pet sitter if gone a long time, or are you close enough to go home during the day?



Part 2: Environnemental Information
Who will be the primary caregiver for this dog?

Approximately how large is your yard?  

Is it fully fenced? ?  Yes ?  No

If your yard is not fenced, how do you plan to insure that the dog receives safe and adequate exercise?


Do you have a pool or hot tub? ?  Yes   ?  No   If yes, is it securely fenced? ?  Yes   ?  No
 
Where will the dog sleep?

Do you plan to keep the dog primarily indoors or out?   Please provide specifics:
? Indoors ? Outdoors

Do you plan to use a crate for housebreaking, night time or while you are gone?  ?  Yes   ?  No

 
 

Part 3:  Pet History List All Pets You Currently Own
Dogs – How many?  
 
Breed
Ages
Male or Female
Spayed or Neutered ?  Yes   ?  No
Indoor/Outdoors
Current on Vaccines ?  Yes   ?  No

Cats – How many?  
 
Breed
Ages
Male or Female
Spayed or Neutered ?  Yes   ?  No
Indoor/Outdoors
Current on Vaccines ?  Yes   ?  No

 
Other Animals in the home?

What activities do you plan on participating in with your dog(s):

 
What brand of pet food do you currently feed your pets?  
 
For what reasons would you return a dog back to us?  Please check all that apply:
 
? Moving
? Medical Problems
? Not Getting Along with other Pets
? New Baby
? Getting out of a fence
? Divorce
? Children Lost Interest
? Behavioral Problems
? Too Time Consuming
? Shedding
? Allergies
? Housebreaking Problems
 

Have you given a dog up or had a dog for a brief period of time and it didn’t work out?   ?  Yes   ?  No
If yes, please explain the circumstances and what happened to the dog:


If your pet develops a medical problem that becomes expensive, what would you do?
 
? Find another home for the dog
? Pay whatever it takes
? Give him to a rescue group or shelter
? Other – Please explain:
 
List any pets you have previously owned:
Species or Breed:  
How long owned:
Where is pet now?
If deceased, cause of death
 
 
 
Part 4:  Dog Knowledge
Are you aware of typical dog health problems?  ?  Yes   ?  No
If yes, what problems do you foresee?
 
Are you willing to take care of health problems should they arise even if the dog requires daily medication?   ?  Yes   ?  No
 
Are you aware that dogs can shed 365 days a year? ?  Yes   ?  No
Are you prepared for this?   ?  Yes   ?  No
 
Most dogs are companion animals; they will want to be with you as much as possible.  Are you prepared for this?   ?  Yes   ?  No
 
Most dogs can live upwards of 14 years, are you committed to this?   ?  Yes   ?  No
 
Please let us know anything else that would make you and ideal candidate for a rescue dog:


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Part 5:  Behavior
What amount of time and effort, per week, are you able to devote to training your dog? Hours

Are you planning on taking your new adoptive to obedience class? ?  Yes   ?  No
If No, why:

Which family members would be expected to assist in home training?
 
How do you discipline your dog?
 
What are your training objectives?


 

 

Part 6:  References
List three references that can provide us information regarding your suitability as a pet owner, and more specially, the owner of a rescued dog.  If you own any pets now, please include your current veterinarian as a reference.

Name:
Phone:

Name:
Phone:

Name:
Phone:

Vet Reference:
Clinic/Doctor:
Address:
Phone:


Thank you for taking the time to complete the above information.  Your application will be reviewed by a member of our adoption screening team and you will be contacted soon regarding next steps.

Applicant Signature Date