09.13.21-Ffdr Adoption Application - Fillable Form For Website

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 7

FUREVER FREED DOG RESCUE

CANINE ADOPTION APPLICATION


(Applicant must be 25 years or older)

Date of Application:      


Name of dog that you are interested in?      
What Breed is the Dog?      
Is this your first application?      
If you have submitted application before, give date and name of dog ap-
plied for:      
Where did you hear about Furever Freed?      

Your Information:
Full Name (and Partner, if there is one):
First Name       Last Name       Age:      
First Name       Last Name       Age:      
Email Address(s)      
Phone       Cell or Alternate Phone      
Street Address      
City      
Province       Postal Code      

Do you rent or own the above address? Rent       Own      
Type of Dwelling?      
Choices: House, Townhouse, Condo / Apartment, Farm, Other (explain)
Do you have a yard? If so, how large?     
Is the yard fenced?      
1
How long have you lived at current address?     
If you are renting and you have been there under a year, what was your
previous rental history?      
How far from your dwelling is the nearest busy road (ie: not a side street)?
     
If you are renting: Can we contact your landlord if you decide to adopt the
dog?      
Landlord's Contact Information (If Applicable)
Name:      
Address:      
Phone Number:      

YOUR FAMILY:
Including yourself, how many people are in your household?      
No. of children in the home?      What are their ages?      
Are the children used to dogs?      
Note: Some of our dogs may not be suitable for younger children.
Is everyone in the household in agreement with adopting a dog?      
How would you describe your lifestyle?      
Choices are: sedate, leisurely, moderately active, very active
How would you describe the pace of your home?      
Choices are: quiet, moderately busy with some noise, hectic and very noisy
Does anyone in your family smoke?      
Who would be the dog's primary caretaker?      
Will all members of the household take part in caretaking?      

2
PAST PET OWNERSHIP:
If there are no animals, please write "There are currently no animals at the
proposed residence."      
If no animals at this time, have you had any in the past 6 years?      
If yes, what happened to them?      
Have you ever owned a 'rescued' animal before?      
If YES, describe:      

CURRENT PET OWNERSHIP:


Do you have dogs now?      
How many?       Spayed/Neutered?      
Breeds?       Sexes?       Ages?      
Are the dogs used to other dogs?      
How do you plan to introduce the new dog to your current dog (or other
pets)? i.e. have you read the experts advice on 'how to properly introduce
new pets to the family'?      
Do you have cats?       How many?       Ages?      
Are cats used to dogs?       Are cats indoor or outdoor?      
Are cats declawed?      
Do you have birds, fish, pocket animals or reptiles?      
Have you ever volunteered for the SPCA or other rescue group?      
Have you ever applied to any other rescue groups/shelters? If so, what
happened?      

DOGS THAT YOU WOULD CONSIDER ADOPTING:


Age range you would consider adopting:
Check your preference(s), select all for no preference
3
< Puppy (6 months)      
Young (6 months - 3 years)      
Adult (3 years - 10 years)      
Senior (10+ years)      

Gender you would consider:


Select both for no preference
Male      
Female      

Size you would consider adopting:


Check your preference(s), select all for no preference
Small      
Medium      
Large      
Extra-Large      

Activity level you would consider adopting:


Check your preference(s), select all for no preference
Low      
Medium      
High      
What are your plans for exercising the dog?      
What are your plans for training the dog?      
Are you willing to help your new dog with needed training? Most dogs will
need help for the first week or so with housetraining as they are nervous in
a new home and not yet used to the routine.       
4
What is your philosophy or method to train your new dog if they do some-
thing inappropriate?      
How many hours will the dog be left alone during the day?      
Where will the dog be kept while you work or go out?
Choices: Free roam, house, crate, basement, bedroom, outside, etc.
     
Where will the dog sleep?
Choices: Free roam, house, crate, basement, bedroom, outside, etc.
     
Where will the dog stay when you are on holidays?      
How often would your dog get walked daily?      
How often would you take your dog to the closest off leash dog park so
your dog can get socialized and play with other dogs?      
What dog behaviours would you consider to be unacceptable?      
Dogs can cost $1000=$2000/yr. Is that affordable to you? (good food,
yearly vaccines, grooming, etc)      
Under what circumstances would you return a dog without seeking assis-
tance to overcome the problem first?      

REFERENCES:
PROVIDE REFERENCES (THAT DO NOT CURRENTLY LIVE WITH
YOU) AND A MAXIMUM OF TWO FAMILY MEMBERS

REFERENCE 1:
First Name:       Last Name:      
Contact information (Phone Number):      
Relation to yourself:      
5
REFERENCE 2:
First Name:       Last Name:      
Contact information (Phone Number):      
Relation to yourself:      

REFERENCE 3:
First Name:       Last Name:      
Contact information (Phone Number):      
Relation to yourself:      

VETERINARY REFERENCE (If you do not have a vet just put N/A)
Practice Name:      
First Name:       Last Name:      
Contact information (Phone Number):      

PLEASE SUBMIT COMPLETED APPLICATION TO: FFDRDOGS@G-


MAIL.COM and [email protected]
FUREVER FEED POLICY
BY SUBMITTING THIS APPLICATION, I AFFIRM THAT WHAT I HAVE
SUBMITTED IS TRUE AND COMPLETE TO THE BEST OF MY KNOWL-
EDGE. I ALSO UNDERSTAND AND AGREE TO THE POLICIES OUT-
LINED IN THIS DOCUMENT BY FUREVER FREED.

Signature:      

6
GENERAL RULES FOR ADOPTION
1. This animal should always be treated with dignity, kindness and love in a
permanent home.
2. It is expected of you to ensure that this animal always has access to
food, clean drinking water and any medical treatment it may need, as well
as ensure its emotional wellbeing for the rest of its life. It is furthermore re-
quired of you to provide this animal with adequate shelter from any ele-
ments.
3. No animal adopted from FUREVER FREED is allowed to be used as a
guard or security animal at a place of business, sold for medical or experi-
mental purposes, used for breeding or for exhibit or performance purposes,
or for any illegal activities. This animal is meant to be a pet in a loving
home only.
4. Should you for any reason in the future, be unable to keep this animal,
you will return it to FUREVER FREED, where it will be re-homed by our-
selves. Under no circumstances are you allowed to pass this animal on,
sell it, or transfer ownership to anyone else without the written approval of
FUREVER FREED.

You might also like