Adoption/Foster Application
Home Free Animal Rescue is a licensed, 501(c)3 nonprofit corporation.

Please enter your responses to the questions below. Please reach out to Homefreeanimalrescue@gmail.com with any questions or concerns.
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Email *
How did you hear about Home Free Animal Rescue? *
Name of animal you are interested in OR adoption criteria (ie: size, breed, age, activity level, etc.): *
Applicant's Full Name (Please include First and Last): *
Co-Applicant's Full Name (First and Last):
Applicant's Full Address (include zip code): *
Home Phone Number:
Cell Number: *
Work Number:
Applicant's Occupation: *
Co-Applicant's Occupation:
Applicant - Name and Address of Employer: *
Co-Applicant - Name and Address of Employer:
Residence: Do you own or rent? *
If you rent, you must provide your landlord's contact information so that we may verify that you are allowed a pet:
What type of housing? *
Do you have a yard and is it fenced? *
If no, how do you plan on exercising your pet?
Are you planning on changing your residence in the near future? *
How many hours a day will your pet be left alone? *
Where will you keep this pet *
Please list names and ages of all children: *
Please list name, age and relationship of any others living in the residence: *
Does anyone in your house have any allergies/asthma? *
Please list all current pets in household: Name, Sex, Breed, Age, Altered? *
Have you had pets in the past? If so, how long have you owned and what is the reason for no longer owning? *
Do you understand all pets adopted from Home Free Animal Rescue have been or must be spayed or neutered? *
Will you assume financial responsibilities for the dog you adopt including (but not limited to): inoculations, regular veterinary care, licensing, ID tag and supplies required to care for the dog such as crates, leashes, collars, dog beds, etc.? *
Vet Name: *
Vet Address and Phone Number: *
Vet records are under the name of:
Reference #1 Name: *
Relationship to Applicant: *
Reference #1's Phone Number: *
Email Address of Reference #1: *
Reference #2 Name: *
Relationship to Applicant: *
Reference #2's Phone Number: *
Email Address of Reference #2: *
Electronic Signature: *
Today's Date: *
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