The Life of Fostering Furbabies Animal Rescue
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Please complete this application in full.  We want to make sure our furbabies are going to the home that is right for them.  We reserve the right to deny any application.
Primary adopter:

Animals Name:
First Name                                   Last Name
Secondary adopter:

First Name                                   Last Name
Address:
City                                                   State
Zip Code                                        County
Home Phone Number
Cell Phone Number
Email Address
How long at current address:
Do you
Landlord's name, if you rent
Landlord's Phone Number
Do you live in a/an
Are there any pet restrictions? If yes, please explain.
How many adults are in your home?
Name
How many children are in your home?
What are the ages of the children?
Does anyone in your home have allergies to animals?
If you had to move,  what plans would you make for the animal?
Are all adults in the home aware that you plan to adopt this animal?
Are they in agreement?
Current Pets
Spayed/Neutered             Vaccinations               Gender
Name                                                                            
Cat or Dog
Age
Name                                                                            
Cat or Dog
Age
Spayed/Neutered             Vaccinations               Gender
Name                                                                            
Cat or Dog
Age
Spayed/Neutered             Vaccinations               Gender
Please list previous pets, how long you had them, and reason for no longer having them.
Veterinarian
Clinic Name
Veterinarian name
Phone Number
City
Personal References
​First
Last
Phone Number
Relation
How long have you known?
Name
​First
Last
Relation
How long have you known?
What type of animal do you prefer to adopt?
Do you have a fenced in yard?
If you have more pets, please list them on the bottom of this form
If you were no longer able to care for your animal, what arrangements would be made?
Where will the animal live? (sleep at night)

Are you employed?
Place of employment
Employer's name and phone number
How long have you been employed here?
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Phone Number
Add more current pets here.


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If you do not have a fenced in yard, will the puppy/dog be taken outside on a leash?
Yes
No
Own
Rent
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Male
Female
Yes
No
Yes
No
Male
Female
Yes
No
Yes
No
Puppy - (12 weeks - 11 months)
Adult- (1 yr - 6 yrs)
Senior - (7 yrs or older)
Doesn't Matter
Male
Female
Doesn't Matter
Indoors only
Outside only
Both Inside & Outside
Indoor to a restricted area