Dog Adoption Application

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First Name *

Last Name *

Age *

Occupation *

Co-applicant: First Name

Co-applicant: Last Name

Co-applicant: Age

Co-applicant: Occupation

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Cell Phone *

Email *

What is the name of the dog you are interested in? *

List any general questions you would like to ask about this particular dog.

Are you willing to allow a representative from Forgotten Paws Pet Rescue to visit your home by appointment? *

Yes
No

Why are you adopting a dog? *

Things that turn you off about a pet? *

Shedding
Drooling
Barking
Digging
Jumping

Will this cat be a surprise for any family members? *

Yes
No

If yes, who? *

Please indicate where you live *

Apartment
House
Condo/Townhouse
Trailer/Mobile Home

What is the apartment complex name? *

Do you Rent or Own? *

Rent
Own

Do you have the landlord's permission to own a cat? *

Yes
No

What is the landlord's phone number? *

How much is the pet deposit?

How many times have you moved in the past 5 years? *

If you move, will your pet go with you? *

Yes
No

What would you do with your pet if you were to move to a place that didn't accept it? *

Fenced Yard? *

Yes
No

Fence Height?

Fence Type *

Wooden
Chainlink
Split Rails with Wire
Other

If no, would you consider fencing all or part of it as a condition of adopting a dog?

Yes
No

Do you have a doggie door?

Yes
No

If not, and if it would work better, would you consider installing a doggie door?

Yes
No

Do you have a pool? *

Yes
No

If yes, is there a separate fence around the pool?

Yes
No

Number of adults in household? *

Do any children live in the house? *

Yes
No

If so, please list their gender/ages? *

Have your children been around pets before? *

Yes
No

Do any family members have allergies to animals? *

Yes
No

Does anyone in the household smoke? *

Yes
No

Do you or anyone in your household currently have any serious health problems? *

Yes
No

If so, please describe *

Do you foresee any major changes in your life in the next 15 years (average lifespan of a cat) such as marriage, childbirth, health problems due to age, going away to college? *

Yes
No

If yes, please explain

Can you provide a permanent home for this dog for 10-15+ years?

Yes
No

Do you have pets CURRENTLY in the household? *

Yes
No

Number, type and age of pets CURRENTLY in household?

Type around Have

Tell us your favorite thing and least favorite thing about your current or past pets?

Do any of your current or did any of your past pets live primarily outdoors?

Yes
No
No current or past pets

If yes, please describe pet

What is your veterinarian's name and phone number?

What do you expect annual pet care (vet care, medication, heartworm preventative, etc.) to cost yearly?

Were all previous pets spayed/neutered?

Yes
No
No past pets

Are all Current pets spayed/neutered? (copy)

Yes
No
No current pets

Do you know what heartworm disease is and how to prevent it?

Yes
No

Is your current dog or was your previous dog on heartworm prevention medication?

Yes
No
No current or past pets

If yes, how often do/did you give the heartworm medication?

What brand do/did you use?

How do you plan to prevent fleas and ticks? *

Who will be responsible for the daily care and training of your new dog? *

How do you plan to housebreak your new dog?

Is the dog you applying for a long haired breed? *

Yes
No

If you are considering a long-haired breed, how often would the dog be groomed? *

Would it get haircuts? *

Yes
No

How would it get haircuts? *

Do It Yourself
Groomer

Have you ever had a serious behavior problem with a previous dog? *

Yes
No

If so, please describe

Have you always kept an ID tag (other than a rabies tag) bearing your phone number on your pets? *

Yes
No

Are you willing to keep a collar and ID tag on all of your pets including a new dog at all times? *

Yes
No

Under what circumstances do you think it is okay to leave a dog outside alone and unsupervised in an unfenced area? *

ok alone quiet subdivision
ok alone acreage
ok alone rural area
ok alone when trained
not ok to leave outside alone

Is your current (or past) dog trained off leash on commands? *

Yes
No

What type of food will you feed? *

Something From The Grocery Store
Premium Food From A Pet Supply Store

Brand name *

On a typical day, how many hours will the pet be home alone? *

Please tell us your typical work schedule *

When you come home from work, what do you usually prefer to do? (example: watch TV & relax, spend time outside, go for walks, etc), Please explain *

Where does your current dog stay when home alone during the day? *

Where will your new dog stay when home alone during the day?

Where do current pets sleep at night? *

Will your new pet be allowed on the furniture? *

Yes
No

What percentage of time will the dog spend inside the house? *

What circumstances, in your mind, justify giving a dog up? *

Moving
New Baby
Not Getting Along with Other Pets
Divorce
Getting Out of Fence
Behavioral Problems
Children Lost Interest
If It Gets Too Big
Too Time Consuming
Shedding
Allergies
Housebreaking Problems
Medical Problems
Aggressive Behavior
Other

Other - Please Explain

Have you ever given a dog/cat up or had a dog/cat for a brief period of time and it didn't work out? *

Yes
No

If any, please describe what happened to each of them *

Have you ever looked at or applied for a pet with another rescue group? *

Yes
No

If so, how long ago? Did you adopt? Please explain *

If you are unable to keep your dog for any reason at any time will you return the cat to us? *

Yes
No

If your pet later develops a medical problem that becomes expensive, what would you do? *

Find Another Home
Pay Whatever It Takes
Have Them Put To Sleep
Give It To A Rescue Group Or Shelter
Other

Other - Please Explain

If your pet develops a frequent urination problem at the age of 12 and can't hold it when left alone, what would you do? *

Have him put to sleep since he is older
Babygate him in where flooring is not carpeted
Give him to a rescue group or shelter
Put in a doggie door
other

other - please explain

Has a dog or puppy died on your premises in the last 6 months of distemper, parvo or unknown causes? *

Yes
No

If you date or marry someone who does not like or want your pets, what would you do? *

Please list the names, addresses and phone numbers of 2 personal references *

How did you hear about Forgotten Paws? *

Website
Newspaper
Word Of Mouth
Radio
At An Adoption Day
Other

Typing your name below will serve as legal signature. By signing below, I am attesting to the truthfulness of my answers. *

EMAIL US:

Email Address: forgottenpaws@yahoo.com

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