FOSTER DOG ADOPTION APPLICATION
Name (first and last) *
Your answer
Email *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Primary Phone *
Your answer
Alternate Phone
Your answer
Name of dog that you are interested in adopting *
Your answer
Do you currently live in a *
Do you currently *
How long have you lived at your current residence? *
Your answer
If you are not the property owner, ResQpaws will verify your resident's current pet policy.
Landlord's Name
Your answer
Phone Number
Your answer
How many adults live in your home? *
Your answer
How many children? Ages of children? *
Your answer
Is this dog a gift? *
If yes, for whom?
Your answer
Which of the following best describes your reasons for wanting this dog? (Check all that apply) *
Required
How many hours a day will the dog be left alone? *
Your answer
Where will the dog be kept when no one is home? *
Your answer
Where will the dog be kept at night? *
Your answer
Do you have a fenced yard? *
If so, how high is your fence?
Your answer
If you have other pets: Are their vaccinations current? *
If your current pets are not current on vaccinations, why?
Your answer
Do you have a regular veterinarian? *
Name and phone of veterinarian
Your answer
Please list all of the pets you have had in the past five years including those you no longer own
Species, Breed, Age, Sex, Altered, Owned How Long, Status of Animal
Your answer
When it comes to relating to dogs, I tend to be more: *
Are you in the military *
If you are in the military, what are your plans for your dog if you were to deploy?
Your answer
I certify that the above information is true and correct to the best of my knowledge. I also acknowledge falsification of the above can result in my being denied adoption of an animal.I understand that ResQpaws Volunteer Organization makes no warranty in regard to the animal’s ownership, condition, disposition, past behavior, or health and that ResQpaws Volunteer Organization can only give such information as is available to them. ResQpaws Volunteer Organization does not warranty the health of any animal and is not responsible for any veterinary expenses associative with treatment of any condition, illness or injury the animal may have or contract. I agree that ResQpaws Volunteer Organization and all its affiliates, members and representatives shall not be liable, answerable or accountable in any manner for any injury or illness to any person, pet or any veterinary care or bills incurred relative to such injury or illness. I agree to indemnify, defend and hold ResQpaws Volunteer Organization and all of its volunteers harmless against any suit, claims or actions brought by any person or persons from or on account of any bodily injuries, diseases, illness or damages caused by said animal. I am responsible for any and all expenses, including court costs and reasonable attorney’s fees for enforcing the terms of this contract provided I fail to uphold it. There will be no monetary refund seven (7) days after adoption. I agree that if I am approved for adoption and at ANY point cannot keep the animal I adopted, I will contact ResQpaws BEFORE taking the animal to a shelter so that we can discuss my options. Signed_______________________________ Date__________________________________
Submit
Never submit passwords through Google Forms.
This form was created inside of ResQpaws Volunteer Org.. Report Abuse