FUREVER FREED APPLICATION



FUREVER FREED DOG RESCUE

CANINE ADOPTION APPLICATION

(Applicant must be 25 years or older)

DATE OF APPLICATION:

NAME OF DOG THAT YOU ARE INTERESTED IN:

What Breed is the Dog?

If you have submitted application before, give date and name of dog applied for:

OWNER INFORMATION Full Name (and Partner, if there is one):

First Name Last Name Age:

First Name Last Name Age:

Email Address(s)

Phone Alternate Phone

Street Address

City Province Postal Code

Do you rent or own the above address?_________________________

Type of Dwelling? (Circle or underline)

House Townhouse Condo / Apartment Farm

Do you have a yard? If so, how large?

Is the yard fenced? YES NO

How long have you lived at current address?

How far from your dwelling is the nearest busy road (ie: not a side street)?

If you are renting:

Can we contact your landlord if you decide to adopt the dog? YES NO

Landlord's Contact Information (If Applicable)

Name

Address

Phone Number

YOUR FAMILY:

Including yourself, how many people are in your household?

No. of children in the home? What are their ages?

Are the children used to dogs? YES NO

note: Some of our dogs may not be suitable for kids.

Is everyone in the household in agreement with adopting a dog? YES NO

How would you describe your lifestyle?

sedate       leisurely        moderately active     very active 

How would you describe the pace of your home?

quiet     moderately busy with some noise       hectic and very noisy

Does anyone in your family smoke?

Who would be the dog's primary caretaker?

Will all members of the household take part in caretaking?

CURRENT PET OWNERSHIP

Do you have dogs now? YES NO How many?

Describe Breed, sex, and ages. Spayed/Neutered?

Are the dogs used to other dogs?

How do you plan to introduce the new dog to your current dog (or other pets)? ie have you read the experts advice on 'how to properly introduce new pets to the family'?

Do you have cats? YES NO How many? Ages?

Are cats used to dogs? YES NO Are cats indoor or outdoor?

Are cats declawed? YES NO

Do you have birds, fish, pocket animals or reptiles? YES NO

PAST PET OWNERSHIP

If no animals at this time, have you had any in the past 6 years? YES NO

If yes, describe the pet, how long did they live, what happened to them?

Have you ever volunteered for the SPCA or other rescue group? If yes, describe:

Have you ever applied to any other rescue groups/shelters? If so, what happened?

Have you ever owned a 'rescued' animal before? YES NO If YES, describe:

DOGS THAT YOU WOULD CONSIDER ADOPTING:

Age range you would consider adopting

Check your preference(s), select all for no preference

Puppy (6 months)

Young (6 months - 3 years)

Adult (3 years - 10 years)

Senior (10+ years)

Gender you would consider

Select both for no preference

Male

Female

Size you would consider adopting

Check your preference(s), select all for no preference

Small

Medium

Large

Extra-Large

Activity level you would consider adopting

Check your preference(s), select all for no preference

Low

Medium

High

What are your plans for exercising the dog?

What are your plans for training the dog?

Are you willing to help your new dog with needed training? Most dogs will need help for the first week or so with housetraining as they are nervous in a new home and not yet used to the routine.  

What is your philosophy or method to train your new dog if they do something inappropriate?

How many hours will the dog be left alone during the day?

Where will the dog be kept while you work or go out?

Free roam, house, crate, basement, bedroom, outside, etc.

Where will the dog sleep?

Free roam, house, crate, basement, bedroom, outside, etc.

Where will the dog stay when you are on holidays?

How often would your dog get walked daily?

How often would you take your dog to the closest off leash dog park so your dog can get socialized and play with other dogs?

What dog behaviours would you consider to be unacceptable?

Dogs can cost $1000=$2000/yr is that affordable to you?

(good food, yearly vaccines, grooming, etc)

Under what circumstances would you return a dog without seeking assistance to overcome the problem first?

Where did you hear about Furever Freed?

REFERENCES

PROVIDE REFERENCES (THAT DO NOT CURRENTLY LIVE WITH YOU) AND A MAXIMUM OF TWO FAMILY MEMBERS

REFERENCE 1

First Name Last Name

Contact information (Phone Number)

Relation to yourself

REFERENCE 2

First Name Last Name

Contact information (Phone Number)

Relation to yourself

REFERENCE 3

First Name Last Name

Contact information (Phone Number)

Relation to yourself

VETERINARY REFERENCE (If you do not have a vet just put N/A)

Practice Name

First Name Last Name

Contact information (Phone Number)

FUREVER FEED POLICY

BY SUBMITTING THIS APPLICATION, I AFFIRM THAT WHAT I HAVE SUBMITTED IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I ALSO UNDERSTAND AND AGREE TO THE POLICIES OUTLINED IN THIS DOCUMENT BY FUREVER FREED.

GENERAL RULES FOR ADOPTION

1. This animal should always be treated with dignity, kindness and love in a permanent home.

2. It is expected of you to ensure that this animal always has access to food, clean drinking water and any medical treatment it may need, as well as ensure its emotional wellbeing for the rest of its life. It is furthermore required of you to provide this animal with adequate shelter from any elements.

3. No animal adopted from FUREVER FREED is allowed to be used as a guard or security animal at a place of business, sold for medical or experimental purposes, used for breeding or for exhibit or performance purposes, or for any illegal activities. This animal is meant to be a pet in a loving home only.

4. Should you for any reason in the future, be unable to keep this animal, you will return it to FUREVER FREED, where it will be re-homed by ourselves. Under no circumstances are you allowed to pass this animal on, sell it, or transfer ownership to anyone else without the written approval of FUREVER FREED.

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download