Thank you for submitting you application to Four Paws Rescue Inc.. Our adoption process is a three step process. Once your application is submitted it will be reviewed by one of our volunteers, and if approved someone will then contact you. The second step, we will then schedule a home check. Once that is completed it still does not guarantee that you will be able to adopt a dog. The final step will be a review by our board and if everyone agrees that the dog would be a good fit for the family, then we will contact you and complete the final adoption process. Please allow us 72 hrs to review your application. Thank you for wanting to adopt.
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Cell Phone
WHICH ANIMAL ARE YOU INTERESTED IN? Choose an animal: Angel Banjo Dixie Doe Duke Fluffy Gizmo Gypsy Hazelnut Jake Jet Koda Lenny Mariam Mikki Mimi Molly Moses Odie Orson Poppy Rocky Sammie Sandy #2 Snowball #2 Starsky Summer Tabitha Toby Travis Trixie Vanilla Violet
APPLICANT EMPLOYER:
APPLICANT OCCUPATION:
SPOUSE/ROOMMATE NAME?
SPOUSE EMPLOYER:
SPOUSE OCCUPATION:
LIST AT LEAST TWO REFERENCES THAT ARE NOT A FAMILY MEMBER:
REFERENCE PHONE NUMBER:
REFERENCE #2 NAME:
REFERENCE PHONE NUMBER:*
IN WHAT TYPE OF HOME DO YOU LIVE IN? Choose one: Single Family Duplex Apartment Condominium Mobile Home Military Housing Motorhome or RV
HOW LONG HAVE YOU LIVED THERE? (IF LESS THAN TWO YEARS PLEASE PROVIDE PREVIOUS ADDRESS)
DO YOU RENT?*
IF YOU RENT, DO YOU HAVE PERMISSION FROM YOUR LANDLORD TO HAVE AN ANIMAL? Choose one: Yes No
IF YOU RENT, MAY WE CONTACT YOUR LANDLORD?
LANDLORDS NAME:
LANDLORD PHONE NUMBER:
ARE YOU PREPARED TO TAKE ADEQUATE CARE OF THIS ANIMAL IF IT BECOMES ILL OR INJURED?
NAME OF VETERINARIAN/HOSPITAL:
VETERINARIAN PHONE NUMBER:
DOGS CAN LIVE FOR MORE THAN 15 YEARS, AND THEIR CARE MAY AMOUNT TO OVER $400.00 PER YEAR. ARE YOU PREPARED TO ACCEPT THIS RESPONSIBILITY FOR HIS/HER ENTIRE LIFE?
WOULD YOU OBJECT TO AN INSPECTION OF YOUR PREMISES BY A RESCUE VOLUNTEER?
DO YOU PLAN TO LICENSE THIS ANIMAL?
ARE YOU WILLING TO ATTEND OBEDIENCE CLASSES?
HAVE YOU INQUIRED ABOUT CLASSES?
IF YOU WERE TO HAVE POTTY TRAINING ISSUES WITH THIS DOG, HOW WOULD YOU ADDRESS IT?
HOW MUCH TIME WILL THE ANIMAL SPEND ALONE DURING THE DAY:*
WHERE WILL THE ANIMAL SLEEP AT NIGHT: AS A PUPPY? AS AN ADULT?*
WILL THE ANIMAL BE KEPT INSIDE OR OUTSIDE:
WHAT TYPE OF OUTDOOR SHELTER IS AVAILABLE FOR THE DOG:
IS ANYONE IN THE HOME ALLERGIC TO ANIMALS?
HOW MANY ANIMALS DO YOU OWN? DOGS, CATS, OTHER, WHAT BREED & AGE ARE THEY?
ARE YOUR OTHER ANIMALS LICENSED?
DO YOU HAVE A SWIMMING POOL?
IS YOUR YARD FENCED?* Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced
WHAT TYPE OF FENCE: Choose one: Chain Link Invisible Wood Brick
WHAT IS THE HEIGHT OF THE FENCE?
HOW MANY PEOPLE RESIDE IN YOUR HOUSEHOLD: ADULTS, CHILDREN,
AGES OF ALL CHILDREN IN HOME:
WHO IN THE HOUSEHOLD WILL CARE FOR THIS PET:
HOW DO YOU PLAN TO PROVIDE FOR THE DOG WHEN YOU ARE OUT OF TOWN?
WHERE WILL THE ANIMAL BE KEPT WHEN YOU ARE HOME?*
WHAT WILL HAPPEN IF YOU MOVE LOCALLY - OUT OF TOWN OR OVERSEA?
UNDER WHAT CIRCUMSTANCES WOULD YOU NOT KEEP THIS ANIMAL?*
HAVE YOU EVER GIVEN UP A PET? IF YES, PLEASE EXPLAIN:*
WHY ARE YOU INTERESTED IN ADOPTING A PET AT THIS TIME?
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE, AND THAT ANY FALSE INFORMATION MAY RESULT IN NULLIFYING THE ADOPTION. I ALSO UNDERSTAND THAT COMPLETING THIS APPLICATION DOES NOT ENSURE THAT I WILL BE SELECTED TO ADOPT THIS DOG.
Signature: Date: