Dog Adoption Application | From Forgotten to Forever

Todays date*

Contact Information

Name*

First Last

Occupation*

Address*

Street Address Address Line 2 City State ZIP Code

Please note we will not adopt pit bull type dogs to areas with BSL.

Do you rent or own your home?*

Rent
Own

Name of Landlord/Leasing Company/Apartment Complex*

Please note that we will not adopt a dog into housing where its breed is not permitted.

Landlord Phone Number*

Please contact your landlord to let them know we'll be calling. It usually makes the processing of your application go faster!

How long have you been at this address?*

Phone*

Email*

Family & Housing

How many other adults are there in your family, and what is their relationship to you?*

How many children (ages)?*

What type of home do you live in?*

Please describe your household*

Active
Noisy
Quiet
Average

Does anyone in the family have a known allergy to dogs?*

Is everyone in agreement with the decision to adopt a dog?*

Do you have time to provide adequate love and attention?*

Other Pets

Do you currently have any pets?*

Yes
No

Please list your current pets and what type/breed of animal they are. If cats or dogs, list names and ages.*

Are these pets up to date on vaccines?*

Are these pets spayed/neutered?*

Yes
No

If not, why?

Have you ever surrendered a pet?*

Yes
No

If so, why?

Describe your history of pet ownership.

Veterinarian

Do you have a regular veterinarian?*

Yes
No

Clinic Name*

Veterinarian’s Name

First Last

Clinic Phone Number*

By providing FFTF with this information you are allowing FFTF to call your vet. Please call your vet and ask them to authorize the release of information to FFTF.

Clinic Address*

Street Address Address Line 2 City State ZIP Code

About the Dog You Wish to Adopt

Dog name

Please provide the name of the dog you are looking to adopt.

Desired breed(s)

What is your idea of an ideal dog and why?*

Desired Age*

Select all that apply.

Desired Size*

Select all that apply.

Breed(s) you would not adopt

Desired sex*

Willing to adopt*

Where will the dog spend the day? (describe)*

Where will the dog spend the night? (describe)*

Number of hours (average) dog will spend alone*

Please enter a value between 0 and 24.

Who will have primary responsibility for this dog's daily care?*

Who will have financial responsibility for this dog?*

Do you agree to provide regular health care by a licensed veterinarian?*

Yes
No

Do you agree to keep the dog as an indoor dog?*

Yes
No

When the dog goes out, how do you plan to supervise it? Do you have a fenced yard? If so, how high is the fence?*

Do you agree to contact FFTF if you can no longer keep this dog?*

Yes
No

Are you be willing to let a representative of FFTF visit your home by appointment?*

Yes
No

If you ever move, what do you intend to do with the dog you’ve adopted from us?*

Would you be interested in fostering?

Yes
No
Would like to know more

Personal References

Please list someone who is familiar with both you and your pets (if applicable). Please do not use references who are a member of the applying household. Doing so will result in a delay in the processing of your application.

Name*

First Last

Relationship*

(relative, neighbor, friend, etc.)

Address

Street Address Address Line 2 City State ZIP Code

Phone*

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Relationship

(relative, neighbor, friend, etc.)

All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.

Signature*

Date of birth*