Dog Adoption Application

Name

First

Last

Dog's name or type of dog you are interested in adopting:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Age

Occupation:

Employer's Name:

Employer's Address:

Address Line 1

Address Line 2

City

State

Zip Code

Does your position require travel:

Yes
No
Sometimes
Not applicable

Type of residence:

Do you rent or own your home

Rent
Own

How long have you lived at this address:

Are there restrictions as to the number or size of the animals you are allowed:

Please list all household members, their age and relationship to you:

Have you consulted and received approval with all members of the household regarding this adoption:

Yes
No
Not Yet

Will all household members be coming in to interact with the dog you wish to adopt:

Yes
No

Which household member(s) will be the primary caretaker of the dog:

Where will the dog be kept during the day:

Where will the dog be kept at night:

Approximately how many hours will the dog be home alone during a typical day:

Why would you like to adopt a dog:

How long have you been looking for a dog:

Please list the information of your current veterinarian, if available:

Please provide information regarding your pet(s) past and present: NAME/BREED/AGE/SEX/ALTERED?/CURRENT ON VACCINATIONS?/WHERE ARE THEY NOW:

How much do you expect to spend annually on a dog:

How much are you willing to spend on medical bills:

Have you ever given away or relinquished an animal to a shelter? If so, what were the circumstances:

Have you ever had a pet euthanized? If so, please explain:

Are you aware that dogs can live up to 15-20 years, and are you willing to take responsibility for their lifetime:

What will you do with the dog if you move:

How much time will you give your new dog to adjust to your home:

What will you feed your new dog, and how often:

Have you house-trained a dog, if applicable:

How many times per day do you plan to take the dog outside:

Do you have a fenced-in yard? If so, what kind and height is the fence:

What will you do if your dog develops a problem with: digging / barking / chewing / aggression? Please explain your plan for each of these issues:

What behavior problems are you NOT willing to handle:

Under what circumstances would you return the dog you are applying for:

Where did you hear about the animal you are applying for

TERMS AND CONDITIONS: 1. I hereby understand and agree that FFRAA makes no representations or warranties, expressed or implied, about the dog's health and/or temperament. FFRAA is hereby absolved from any liability for future damages or injuries caused by said dog to property, person, or other pets and shell not be held liable for any expenses, including medical, which may be incurred after the animal goes home 2. I agree to hold the dog in the highest regard as a member of my family, to provide the dog with proper care, wholesome food, water, shelter, medical attention, socialization, love, and affection. 3. I understand that all FFRAA dogs are neutered/spayed prior to finalized adoption. 4. I will not at any time give adopted dog to any organization or individual other then FFRAA without prior written approval from FFRAA. Of at any at time and for any reason, I cannot keep my adopted dog, I will contact FFRAA. If I return the dog, I will be responsible for providing transportation back to an approved FFRAA foster home. Any animal adopted from FFRAA may be returned at any time, for any reason. 5. I agree to provide veterinary medical care such as vaccines, medical exams, heart-worm prevention, flea & tick prevention, blood test, dental, etc. for the life of the dog. I also agree to provide professional veterinary care to alleviate suffering or illness on the part of my adopted dog. I will take my dog to a vet for check-up within 14 days of taking him/her home. 6. I agree to return follow-up calls/emails about my adopted FFRAA dog. If I do not, then I agree to allow FFRAA to inspect my home, the adopted dog, and the adopted dog's living quarters at any time. I understand that if FFRAA finds this contract is being violated or that the dog is not being cared for properly, FFRAA has the right to reclaim the dog and the adopter will surrender the dog on demand and make no further claims against FFRAA. This shall not be considered a trespass and no money shall be returned. 7. I understand that I am adopting this dog as a permanent member of my household and the dog shall reside in my home. The dog will not be kept outdoors, in a dog house, on an outdoor porch, or on a chain. 8. I understand the risk of dog theft and will not leave my dog unattended unless within the confines of my home. Thieves can easily watch a house, learn a family's routine, so that they know when the dog is left in the backyard unsupervised. I agree to contact FFRAA immediately in the event of the lost or theft of my adopted dog. I also to initiate a search for my lost or stolen adopted dog. I will keep the adopted dog within the the safe confines of my home unless on a hand-held leash, in a carrier, or other securely enclosed area with visible human supervision. 9. I will not physically alter my adopted dog through elective surgery such as tail docking, ear cropping, or debarking. 10. I agree to enroll and complete an obedience class with my dog if necessary. 11. If I rent or live in a condo, I have checked with my building management or condo association regarding pet restrictions and I am allowed to have a dog or puppy of the breed, size, and number I am adopting. I also understand that FFRAA has the right to contact my building management to confirm I am allowed the the dog's I am adopting. 12. The information I have provided FFRAA is truthful and accurate. 13. Should it become necessary for FFRAA to take action to recover an adopted dog, or otherwise enforce the provisions of this adoption agreement, the undersigned adopter agrees to pay all cost, fees, and expenses, including attorney's fee, incurred by FFRAA. BY SIGNING BELOW, I HEREBY ACKNOWLEDGE THAT I HAVE CAREFULLY READ AND AGREE TO ALL THE COVENANTS, TERMS, AND CONDITIONS CONTAINED ON THIS FORM.:

Please upload photos of where the dog might be eating, sleeping, and playing in your home/yard:

Click or drag files to this area to upload. You can upload up to 10 files.

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