I am 21 years or older.

I have a valid driver's license or other photo ID and identification with my present address.

I am able to verify that I can have a pet where I live and proof of pet deposit, if required.

I am phisically, financially and emotionally able to care for this animal.

I am willing and able to spend the time and money necessary to provide the proper care for a pet. This includes food, shelter, veterinary care, grooming and training for the lifetime of the animal I adopt.

I agree to hold harmless Friends Forever of North Texas for any damage to person(s) or personal property caused by the animal.

Friends Forever of North Texas is committed to enriching the lives of our animal friends who may be without shelter, food, care or love, regardless of age, natural beauty or condition, and to find them permanent homes. Our animals are living beings entrusted to our care. It is our responsibility to find the best possible homes for them and to meet the individual needs of each animal. For this reason, we reserve the right to approve or deny any adoption as we see fit.

Title

Email Address

Last Name

First Name

Street Address

City

State

Zip Code

Driver's License No.

State and Exp.

Home Phone No.

Work Phone No.

Cell Phone No.

Date of Birth

Occupation

Employer

Length at Job

Number in Household

Names and Ages of Other Adults in Household

Names and Ages of Children in Household

Have you been planning to adopt a pet? Yes No

If no, what was the deciding factor in adopting a pet today?

How many times have you applied for adoption in the past year?

What was the outcome of the application(s) and why?

What Characteristics are most important to you in a pet?

Does anyone in your home have allergies to animals or asthma? Yes No

Is everyone in household aware of and in agreement to adopting a pet? Yes No

Have you owned pets previously? Yes No

Do you own pets currently? Yes No

What percentage of the time will this pet be indoors?

If outside, what kind of shelter will be provided?

When Outdoors, the pet will be: (Select One)

Tied/Chained Free to Roam(In Fence) Free to Roam(No Fence)

Where will this pet be kept during the day?

How many hours will this pet be left alone?

In what area will this pet sleep at night?

How long do you expect to keep this pet?

If moved, what would you do with this pet

What vet care will you provide for this pet?

How long at present address

Type of Home: House Mobile Home Townhouse Apt. Other

Location of Home Suburban Urban Rural

Do you own or rent your home/apartment? Own Rent

If you rent, are you allowed to have pets? Yes No

Are there any breed restrictions or weight restrictions? Yes No

If so, please list those

I have paid my pet deposit and have my receipt. Yes No

Property Name

Deposit Amount

Manager's Name

Manager's Phone No.

If living in a house, do you have a secure, fenced-in yard? Yes No

If so, list type and height of fence

Have you ever given up or gotten rid of an animal? Yes No

If yes, please explain the circumstances.

How many pets are currently in your household?

Please list current pets below including Breed, Sex, Age, Neuter status and how obtained.

Other than those listed above, please list previous pets owned in the past 10 years.

Please include Type, Breed, Name, Sex, Spay/Neuter, Ages, and What Happened to them.

Veterinarian Name

Phone Number:

Street Address

City

State

Zip Code

When and why was your last visit to the Vet?

Are your pets up to date on all vaccinations? Yes No

Are your pets on heartworm preventative? Yes No

Will you allow us to contact your vet? Yes No

Dog Adopters

If adopting a puppy or an adult dog that is not yet housetrained:

Do you realize that you'll be responsible for housetraining this pet? Yes No

Have you housetrained a dog before? Yes No

Are you familiar with crate training? Yes No

Would you use a crate? Yes No

What will you do if your dog chews furniture or displays destructive behavior?

Cat Adopters

Have you litter box trained cats before? Yes No

If you have dogs, have they been exposed to cats? Yes No

Do you plan to declaw your cat when adopted? Yes No

For Our Records

Name of Cat or Dog You're Interested In

In certify the above information is true and correct to the best of my knowledge

I understand that, prior to the placement of a pet in my home, all information will be verified.

Applicant's Signature

Date