Furever Buddy's Rescue Adoption Application
Email address *
Date
MM
/
DD
/
YYYY
Full name *
Your answer
Are you 18 years of age or older?
Birthday
MM
/
DD
/
YYYY
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Name of dog(s) you wish to adopt *
Your answer
How many people live with you?
Your answer
How many adults?
Your answer
How many kids?
Your answer
Do all members of the household want this pet?
Phone#
Your answer
Alt. Contact Name
Your answer
Alt. Contact#
Your answer
Employer Name & Number
Your answer
Personal Reference Name
Your answer
Personal Reference Contact Information
Your answer
Relationship to Personal Reference
Your answer
Description of Residence
Do you own your house or rent? *
If you rent please provide your landlords name and contact information.
Your answer
If renting are there restrictions on pets?
Your answer
How long have you been living in your current home?
Your answer
Do you have a fenced yard with a secure gate?
Where will the pet be kept during the day? (Check all that apply) *
Required
Where will the pet be kept during the night? (Check all that apply)
Do you plan on moving in the next 6 months?
If you move what are your plans for the animal?
Your answer
Current Pets
What current pets reside in your home?
Your answer
Have you had any pets with an infectious disease, or one that has come in contact with an infected animal in the last six months?
Do all current pets in the household get along with other animals?
Have you ever re-homed a pet before? If yes, why?
Your answer
Are all current pets up to date on vaccinations?
Are all current pets spayed/ neutered?
Have you ever had an animal euthanized? If yes, why?
Your answer
If you have other pets how will they react to a new pet in the house?
Your answer
Pet Questions
Please explain how often and what type of exercise you will be able to provide your new pet.
Your answer
Will your daily schedule work around the needs of the pet?
How many hours daily will your pet go without human companionship?
Your answer
Who will be financially responsible for this pet?
Your answer
If there are children have they been educated on how to care for an animal?
Do you understand that the pet may not be house trained?
Will this animal receive regular vet checkups?
Do you understand that all necessary medical procedures (booster shots, accidents, etc) after adoption is the responsibility of the adopter?
If anything should happen, and the bills are high, what would you do with this pet?
Your answer
Do you understand that all training and behavior modification is the responsibility of the adopter?
If the animal you are adopting begins to show behavior problems how would you correct the issue?
Your answer
Many rescue dogs are mixed breed. It can be hard to tell exactly how big puppies will become when grown. If the puppy becomes bigger than anticipated will this a problem?
When adopting a pet you are adding a new member to your family and the pet should be treated as such. Do you understand that when you adopt a pet it is commitment for the entire life of the pet (12-15+ years)?
Do you understand that if for any reason you are unable to keep the pet it will be returned to our care?
Your answer
Animals that have gone through a stressful situation need time to adjust. Are you prepared to give the animal time to adjust and feel comfortable in its new surroundings?
Your answer
The cost and care of these animals solely depend on donations, we are in constant need of supplies and any donation you can give is greatly appreciated. Every penny helps us feed, and care for these animals. Would you like to give a donation today?
If you would like to make a donation what amount would you like to give?
Your answer
Thank You! You should hear from us within the next 72 hours, if you don't receive a response within 72 hours please text 435-401-0647.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service