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Free to Live Adoption Application
Please complete this form and we will get back to you as soon as possible. Once submitted, if you do not receive an emailed copy of your application from Google Forms then it did not go through. If you have any questions feel free to call us at 405-282-8617 or email
info@freetoliveok.org
. Thank you for choosing adoption!
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* Indicates required question
Email
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Your email
Potential Adopter’s First & Last Name(s):
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Your answer
Name of Animal Applying For:
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Your answer
Potential Adopter’s Home Address (Please include City and Zip):
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Your answer
Email Address:
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Your answer
Primary Phone Number:
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Your answer
Secondary Phone Number:
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Your answer
Occupation:
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Your answer
Marital Status:
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Your answer
Spouse’s Name & Occupation:
Your answer
Where do you currently live?
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Apartment
Rental Home
Own Home
If applying for a dog what type of fencing does your home have?
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4' Chain Link
5' Chain Link
4' Stockade
6' Stockade
No Fence
N/A
Other:
How long have you lived at this address?
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Your answer
If you rent or live in an apartment, is it permissible to have pets in your home?
Your answer
Landlord’s name and phone number:
Your answer
Are you 18 years or older?
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Your answer
Name, Age, Relationship of any other adults living in your home:
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Your answer
Name, Age, Relationship of any children currently living in your home:
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Your answer
List the name, type/breed, age, and gender of any other animals living in the home and how long you’ve had them:
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Your answer
Current Flea and Tick Preventative used:
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Your answer
Current Heartworm Preventative used?
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Your answer
List any pets you’ve owned within the last five years and why you no longer have them (stolen, lost, passed away, gave to friend, etc.):
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Your answer
Briefly describe an average day in your household:
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Your answer
Will this be an indoor or outdoor animal?
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Indoor
Outdoor
Indoor/Outdoor
If applying for a cat do you plan on having it declawed?
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Yes
No
Maybe
N/A
What are you willing to spend for annual vet care, including vaccinations?
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Your answer
If you are applying for a dog are you prepared and willing to spend approximately $500 a year on monthly flea, tick, and heartworm prevention?
Yes
No
N/A
Clear selection
If you are applying for a cat are you prepared and willing to spend approximately $350 a year on monthly flea, tick, and heartworm prevention?
Yes
No
N/A
Clear selection
Primary Veterinarian, Address, Phone Number:
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Your answer
Are your pets current on vaccines?
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Your answer
Are your pets spayed or neutered?
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Your answer
Have you ever adopted from Free to Live in the past?
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Yes
No
If yes, was the adoption a dog or cat?
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Dog
Cat
N/A
What temperament in an adopted dog or cat would best fit your personality and/or lifestyle?
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Your answer
Why did you decide to adopt?
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Your answer
How many hours a day will your pet be left alone? When they are left alone, where will they be? (outside, in a kennel, sleeping in bed, etc.)
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Your answer
Tell us why you would like to adopt this particular animal and why you would be the best family for him or her? (Please include experience as a pet owner, any professional pet care experience, etc.)
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Your answer
Will you allow a Free to Live representative to visit your home?
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Yes
No
Please list the name, phone number, and relationship of three personal references:
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Your answer
A copy of your responses will be emailed to the address you provided.
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