Friends of the Animals BR Adoption Application
Questions marked by * are required.
1.	Today's Date: *
2.	Pet and Foster Names: *
3.	Description of pet: *
4.	Your Name: *
5.	Your Driver's License # and state issued: *
6.	Your phone numbers, home, work and cell phone: *
7.	Your email address: *
8.	Your mailing address and physical address if different from mailing address: *
9.	How long have you lived at this address? *
10.	Do you have plans of moving in the near future? * yes no
11.	What is your occupation and place of employment? *
12.	How long at your current place of employment? *
13.	Will you agree to a home visit by a FOTA representative? * Yes No
14.	About your home: * I own I rent my apartment I rent my home/townhome
15.	If you rent, do you have your landlord's permission to have a dog? * Does Not Apply Yes No
16.	If you rent, are there any breed restrictions and if so, what kind? *
17.	If you rent, please provide landlord's name & telephone number: *
18.	If you rent, have you paid the pet deposit? * Does Not Apply Yes No
19.	What are the ages of all people living in the home. *
20.	Is this pet for you or a gift to someone else? * For me For someone else
21.	Do all others in your home want this pet? * Yes No
22.	Who is the dog primarily for - adult, child, elderly, entire family? *
23.	Have you ever had a pet? * Yes No
24.	Who will care for, train and exercise the dog? *
25.	If you have small children, have they been around dogs before? * Yes No does not apply
26.	Will you monitor young children around your new pet to assure a smooth transition? * Yes No does not apply
27.	Does anyone in the home have allergies or asthma? * Yes No
28.	Do you plan to alter this pet's ears or tail? * Yes No
29.	Will the dog ride in the back of a pickup truck, and if so, how will it be secured? *
30.	Are there any other pets in your home, including exotics? * Yes No
31.	If yes, please list each pet in your home: type; breed; gender; age; temperament. *
32.	If you have pets, how will you introduce this pet to your household? (Please ask us for advice on this.) *
33.	Are all pets in your home current with vaccinations? * Yes No does not apply
34.	If your pets are not current with vaccinations, please tell us why not? *
35.	Are all pets in your home spayed or neutered? * Yes No does not apply
36.	If your current pets are not spayed or neutered, please tell us why not. *
37.	What heartworm prevention do or did you use? (enter does not apply if you've never owned a pet) *
38.	If you don't currently have a pet, but had a pet in the past, please tell us about this pet and what happened to it. *
39.	Can you provide vet records? If not, why not? *
40.	Please provide the name and phone number of your veterinarian. Be advised we will call for a reference. *
41.	When was your last visit to the vet and why? *
42.	Are you aware dogs & cats can live 15 to 20 years? * Yes No
43.	Are you able to afford yearly vet visits for vaccinations and health check-up? * Yes No
44.	Are you able to afford emergency medical care for a pet if needed? * Yes No
45.	Are you aware that puppies can require more medical care during the first year of their life, compared with adult dogs and cats, resulting in more expenses? This includes 4 sets of vaccinations in the first year of life before they are completely immune to diseases that they are vaccinated for? * Yes No
46.	Tell us about your yard: * Fenced front & back Fence back only Fenced front only Partially fenced Invisible fence no fence Apartment no fence
47.	Is your fence completely secure? * Yes No
48.	Tell us about your fence - type, height, *
49.	Do you have doggy door, outdoor kennel and/or an outdoor run? If yes, describe normal use. *
50.	If you don't have a fence, how do you plan to exercise your dog? * walk/run parks other
51.	Will the dog be exercised at dog parks? * Yes No
52.	Tell us about your new pet's living arrangements: * inside only outside only mainly inside/outside supervised outside days/inside nights crated when alone or at night free roam when alone or at night inside with doggy door to outside
53.	On average, how long will your dog be left alone all day? *
54.	Where will your dog stay when left alone? * Crated indoors Free roam of home confined to one room Outside
55.	Where will your dog sleep at night? *
56.	Are you familiar with the use of a dog crate to train your pet during your absence or at night? * Yes No
57.	What is your desired level of activity in your new dog? * High Medium Calm Any
58.	Are you aware that if you don't register your pet's microchip number by phone or internet after it's adopted and is picked up by animal control, the pet will be returned to the rescue and not back to you? Do you agree to comit to registering this pet's microchip? * Yes No
59.	Are you aware that if your dog is picked up by animal control without a collar, that it only has 3 days until it is up for adoption or euthanasia at a high kill shelter? It has 5 days if wearing a collar. With tags, you will be contacted. Do you agree to commit to having your pet wear a collar with rabies/ID tags? * Yes No
60.	What would cause you to give up this pet? * Excessive shedding Pregnancy Allergies Pressure from significant other / loved one Moving to a new home Expenses related to the pet Pet damaging household items Pet jumping on things Excessive barking Nothing - I am making a lifetime commitment
61.	If I am selected and I adopt this pet, I agree to seek medical attention immediately if necessary, to comply with state, parish and city laws regarding pet ownership and annual vaccinations; to never let this pet roam free; to love and care for this pet providing a wonderful home for my new family member. * Yes No
62.	I understand an adoption contract and adoption fee will be required. * Yes No
63.	I certify that the above information is accurate to the best of my knowledge. I agree to let FOTA BR contact my veterinarian, employer and others for purposes of personal reference. I also understand that FOTA BR reserves the right to refuse adoption to me for any reason. By checking, I agree, I understand this is my electronic signature. * I agree I disagree
64.	How did you learn about this pet? * Friends of the Animals Facebook Friends of the Animals website shared post by friend on Facebook Adopt-a-Pet Petfinder Craigslist Adoption House Orvis Adoption Event Other adoption event other
65.	Suggestions for how we can improve. *