| FTHR ADOPTION APP |
| Questions marked by * are required. |
| 1. |
Name of animal you wish to adopt *
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| 2. |
Adopter Name *
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| 3. |
Street Address *
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| 4. |
City, State, Zip *
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| 5. |
Email Address *
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| 6. |
Home Phone
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| 7. |
Cell Phone
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| 8. |
Are you in the process of moving?
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| 9. |
Do you rent or own your home?
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| 10. |
Name and contact for Landlord if applicable
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| 11. |
Number of adults in the home
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| 12. |
Number of children in the home
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| 13. |
Do other members of the household support your decision to adopt a pet?
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| 14. |
Do you have experience with the breed? *
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| 15. |
Do any members of your household have allergies?
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| 16. |
On average, how many hours a day will this pet be left alone?
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| 17. |
When you are not at home, where will this pet be kept?
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| 18. |
Personal reference #1 Name and Contact information *
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| 19. |
Personal reference #2 Name and Contact information *
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| 20. |
List current pets: Breed, Gender, Age and behavior issues if any
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| 21. |
Are pets in your home current on vaccinations?
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| 22. |
Are pets in your home current on heart worm prevention?
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| 23. |
Are pets in your home spayed/neutered?
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| 24. |
Veterinarian Name, Address and Contact
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| 25. |
Do you plan to keep this or any other pet on a chain?
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| 26. |
Do you have a fenced area?
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| 27. |
Type/height of your fence
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| 28. |
What type of exercise and socialization will you provide for your new pet?
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| 29. |
What type of corrective action do you use when your pet misbehaves?
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| 30. |
What type of issues would you be unwilling or unable to work with?
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| 31. |
Under what circumstance would you consider returning the pet to the rescue?
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| 32. |
Are you willing /able to take on the financial commitment of providing veterinary care, grooming, emergency expenses, supplies, and food, for the lifetime of this pet- understanding that these expenses can often add up to the hundreds of dollars each year?
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| 33. |
Are you willing to allow a home visit by a FTHR representative as part of the approval process?
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| 34. |
Have you ever surrendered a pet to a shelter or rescue?
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| 35. |
Have you ever had a pet picked up by security or animal control? Please explain the circumstance and the resolution.
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