Date:

How Did You Hear About Four Paws Rescue?:

Name of foster dog/cat you're applying for:

How long have you been looking for a pet?:

Your Name:

Home Phone:

Work Phone:

Address:

City:

State:

Zipcode:

Email:

Do You Own Or Rent?:

If renter, do you have permission to have a pet?:

Your Landlord's Name and Contact Info:

Do you have a fenced in yard?:

Fence Height:

How long have you lived at present address?:

Are you moving or relocating in the next six months?:

Is everyone in household agreeable to adopting a dog/cat?:

Number of adults in household:

Number of children and ages:

Will you have children visiting:

Number of children and ages:

Who will be ultimately responsible for the care of this dog/cat:

What is your level of experience with dogs:

First time guardian? Yes/No:

Knowledgeable/experienced? Yes/No:

Does anyone in your household have allergies and/or asthma?:

What would you do if someone developed allergies to your adopted dog/cat?:

Reason for adopting (companion, security, company for another animal, etc.):

Are you willing and able to make a life-long commitment to a dog/cat as a family member for the next 15 years (or so)?:

Is your family willing to have pet hair on the furniture, clothes and themselves?:

What will you do if your dog/cat develops behavior problems that are unacceptable to you?:

How many hours will the dog/cat be home alone?:

Where will the dog/cat be kept when no one is home?:

Where will the dog/cat be kept when someone is home?:

Where sleep at night?:

Are you willing to work with a dog/cat that is not housetrained?:

What will you do with the dog/cat if you will be gone for a few days?:

Have you ever relinquished a pet to an animal shelter or anyone else?:

If yes, explain why?:

What is your estimate of the annual cost to care for this dog/cat (i.e., food/shelter/veterinary care?:

Do you currently have a veterinarian?:

Name of vet:

List all animals you currently have or have had in the past five years:
Include: 1.- Type of pet    2.- Age   3.- Spay/Neuter status   4.- Length of time    5.- Current status of pet

Comments:
Is there any other information that you feel is important for us to know in consideration of you adopting this dog/cat?:

Will you allow a FOUR PAWS RESCUE representative to do a home visit?:

Do you understand that the adoption fees are as such: Dogs: $200.00   Puppies: $250.00   Cats: $100.00?

Adoption fee includes: Spay/neuter, vaccinations, collar, and ID tag
For puppies, $50.00 is refunded upon proof of completion of a dog training class within four months of adoption.

I am 18 years or older? Yes/No:

I understand that completion of this adoption application does not guarantee adoption of the dog/cat I am applying for and that FOUR PAWS RESCUE reserves the right to deny adoption for any reason. I certify that the above information is true and correct, I am over the age of 18, and that any false information may void this application.