Adoption/Foster Application Date: ___________ Name of Dog Desired: _________________
Name: _________________________________________________________
Address: ____________________________ Apt. # __________________
City/State/Zip: _______________Home Phone ______________________
Employer: ___________________Work Phone ______________________
Driverís License Number: ________________________________________
EMail Address: ______________________________________________
1) Do you live in a: | Condominium | Apt. |House | Mobile Home | Townhouse | Other
2) How long have you lived at this address?_______
3) Do you | Rent | Own | Other: Explain ______________________
4) If you rent:
(a) Is your lease | Yearly | MonthtoMonth
| WeektoWeek
(b) Name & phone # of landlord:______________________________
(c) Landlord approval | Yes | No | Unsure
(d) Restrictions (i.e., weight limit of pet) ___________________
5) Are you ?a member of a Condo or Home Owners Association? ______
(a) Name of complex/association: _______________________
(b) Restrictions (i.e., weight limit of pet) ___________________
6) How many adults reside in the household? _______________________
7) Are there children living in your home? _______ Ages? ___________
8) What are you looking ?to adopt? | Dog | Puppy |
9) Have you ever turned in an animal to an animal shelter before? ____
If yes, reason? ____________________________________________
10) Does it matter if the pet is housebroken? _____
11) Would there be anyone home during the day? __________
If yes, who? ___________________________________________
12) Has anyone in the household ever had an allergy to animal hair? ____
13) How many pets have you owned in the last 5 years? _____________
?If you no longer have these pets, what is the reason______________
14) How many dogs are currently in your home? _____________________
(a) Breed/Sex of dogs: __________________________________
(b) Are they spayed/neutered? ____________
(c) Do your dogs live ! Outdoors ! Indoors
(d) Are they uptodate
on their vaccines? ! Yes ! No ! Unsure
(e) What brand of dog food do you buy? _________________________
(d) Are they uptodate
on their vaccines? | Yes | No | Unsure
(e) What brand of cat food do you buy? ________________________
17) Would your new pet be living | Indoors| Outdoors | Both
18) Where will your new pet sleep? _______________________________
19) Where will your new pet be when no one is home? __________________
20) Where will you new pet be while you are at home? __________________
21) Is your ?yard fenced? | Yes | No
If yes, type of fence _________ and height _________________
22) Which of the following will be provided for your new pet?
Doghouse |Patio | Porch | Crate/Cage | Chain/Tie | Walks
23) How do you control fleas/ticks on your pets? _________________
24) Who is your veterinarian? _________________________________
Phone # _________________Location ___________________________
25) Why do you want to adopt a pet rather than purchase one?
_____________________________________ I agree that all information that I have given is correct as written.
Signature: ______________________ Date:____________________________
Amount Paid:______________________
Phone: 305-799-1567
Emails: sabbathrescue@hotmail.com