Foster to Adopt Application
Please fill out this form honestly, and email with any questions.
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Email *
First Name *
Last Name *
Age *
Which pet would you like to adopt? *
Driver's License State, # and Expiration Date *
Address *
Street Address
City *
Zip Code *
State *
Phone Number *
We sometimes require home visits.  May we visit your home? *
Do you rent or own? *
Do you have the homeowner's permission to bring a new pet into your home? *
Please list the landlord's name and number. *
Who will be the primary caregiver for this pet? *
What causes heartworms? *
What heartworm prevention do you use? *
Does anyone in your home have allergies or asthma? *
Occupation and Employer? *
What would cause you to give up a pet? *
Who is your current Veterinarian? *
Do you have children? What are their ages? *
Do small children often visit your home? *
Are you able to afford yearly vet visits for vaccinations and checkups? *
Are you aware that dogs can live up to 15+ years, and cats to 20+? Can you care for a pet for that long? *
Would you be willing to adopt a pet with special needs? *
(amputated limb, blind, deaf, old age, needs daily meds, etc)
If something were to happen to you, who would take care of this pet? *
Are you able to afford emergency medical attention if needed? *
Where will this pet live? *
List any other pets in your home, their name, species, breed, and age.   *
When was your last visit to the vet and why? *
How will you deal with behavior problems? *
If you have other pets, how will you introduce your new pet to your household? *
Where did you find this pet? *
Contract *
Please Type Your Name Below *
By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
A copy of your responses will be emailed to the address you provided.
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