Foster to Adopt Application
Please fill out this form honestly, and email RrrrescueMaria@gmail.com with any questions.
Email address
First Name
Your answer
Last Name
Your answer
Driver's License State, # and Expiration Date
Your answer
Address
Street Address + City, State, Zip and Apartment number if applicable.
Your answer
Phone Number
Your answer
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?
Your answer
Which pet would you like to adopt?
Your answer
Who will be the primary caregiver for this pet?
Your answer
What do you know about heartworms and heartworm prevention?
Your answer
Does anyone in your home have allergies or asthma?
Your answer
Occupation and Employer?
Your answer
What would cause you to give up a pet?
Required
Who is your current Veterinarian?
Your answer
Do you have children? What are their ages?
Your answer
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? Can you care for a dog for that long?
Your answer
Would you be willing to adopt a dog with special needs?
(amputated limb, blind, deaf, old age, needs daily meds, etc)
Your answer
If something were to happen to you, who would take care of this dog?
Your answer
Are you able to afford emergency medical attention if needed?
Your answer
Where will this pet live?
List any other pets in your home, their species, breed, and age.
Your answer
When was your last visit to the vet and why?
Your answer
How will you deal with behavior problems?
Your answer
If you have other pets, how will you introduce your new pet to your household?
Your answer
Where did you find this pet?
Contract
Required
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.
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A copy of your responses will be emailed to the address you provided.
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