Adoption Form

Pet Adoption

Pet Name

Pet Type *

Personal Information

Full Name *

Street Address *

Zip Code *

Date of Birth *

Primary Phone *

Secondary Phone *

Email *

Employer / Occupation *

Household Details

Describe Residence *

Do You Own or Rent? *

Own

Rent

Live with a Relative

Please enter the number of Years and Months you have lived at your current locaiton.

Years *

Months

Please provide details about current household occupants - other than you.

Number of other Occupants in your Household *

Do you have a fenced yard? * Yes No

Fence Type *

Do you have any family members with allergies or other health conditions that may impact the outcome of this adoption? *

yes

Character References

Please provide following for 2 character references who do not live with you. (At least one must be a non-family member/significant other). Ideally, your references will have been in your current home, be familiar with your living situation and with your lifestyle. Note: You are required to provide either an email or phone number for each reference, but we prefer that you supply both if you know them.

Personal Reference (1)

First Name *

Last Name *

Relationship *

Email *

Phone *

Personal Reference (2)

First Name *

Last Name *

Relationship *

Phone

Pets and Vets

Pets

Have you previously adopted an animal from Furry Friends Network? *

yes

If you currently have a dog or have had in the past, do you give them monthly heartworm preventative such as Heartguard, Sentinel, Interceptor, etc? If you have never had a dog, do you feel this medication is important? *

yes

Do you currently have or have you recently had any dogs or puppies with the Parvo or Corona Virus? *

yes

If you currently have a cat, or have had in the past, have they been tested for FeLuk/FIV? *

yes

Do you currently have or have you recently had any cats or kittens which have Feline Leukemia, Feline Aids or Distemper Virus? *

yes

How do you plan to exercise this pet each day? *

Furry Friends Network requires you and your newly adopted dog attend at least one basic group obedience course. Are you willing to take your adopted dog through at least one basic group obedience course? *

yes

Briefly explain why you can provide the best home for this animal. *

Adopting an animal is a big responsibility. The animal for which you are applying will be totally dependent on you for all of its needs for the rest of its life. This includes medical care, exercise, food and training.

On an annual basis, what do you think it costs to care for an animal? *

If your animal requires extensive medical care, surgery, etc., in the future, are you able and willing to financially provide that for your adopted animal? *

yes

Which veterinary practices/procedures do you feel are important and/or currently provide for your pets? * Select All that Apply from the List Above using the Click-Drag Technique with your Mouse, or the CTRL (or CMD) Key to Click Individual Choices.

Have you ever surrendered or rehomed a pet for any reason? *

yes

Under what circumstances would you give up a pet? *

Where current pets are kept / where new pet will be kept *

Inside

Outside

Both

What brand and variety of food do you feed your current pets? If no current pets, what brand and variety of food do you plan to feed your new pet? *

If you are approved to adopt this pet how long will this pet be alone each day? (crated or otherwise unattended)

Hours *

Where will this animal sleep? * Select All that Apply from the List Above using the Click-Drag Technique with your Mouse, or the CTRL (or CMD) Key to Click Individual Choices.

Please provide details about your current, and past pets.

Number of Pets over the last Five Years *

Vets

Please provide information for every veterinarian that has seen each of the pets who live in your household, regardless of whether you have financial responsibility. Please call each of these vets and give them permission to release information to us.

Number of Veterinarians over the Past Five Years *

By submitting this application, you are consenting to allow a Furry Friend's Network Representative to contact your veterinarian(s) to obtain pet history and medical information, and are confirming that you read and understand The Furry Friend Network's Core Values. You are confirming that you are willing to make a life-long commitment to this animal?

Additionally, you certify that all information in this application is true and understand that if the information contained herein is found to be false, your application will be voided and any pending adoption refused.

Do you agree with these terms? * Agree