Name of Pet (required)
Applicant Name (required)
Date of Birth(MM/DD/YYY) (required)
Address Line 1 (required)
Address Line 2
City (required) State (required) AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zipcode (required)
Main Phone Number (required)
Alternate Phone Number
Email (required)
Type of home the dog will be living in (required) HouseApartmentDuplexOther
If in a rental, do you have written permission from your landlord along with proof of deposit paid prior to taking possession of your new dog? (required) YesNoN/A
How long have you lived at this address? (required)
Do you plan to move soon? (required) YesNo
When will your new dog be inside? (required)
When will your new dog be outside? (required)
Does your home have a fenced yard? (required) YesNo
What type of fence?
What is the height of the fence?
Is anyone allergic to pets in the household? (required) YesNoUnknown
Are there children in the household? (required) YesNo
If yes, ages of the children
Number of adults in the household (required)
Do all the adults in the household support the decision to adopt this pet? (required) YesNo
Skip this section if you do not live in a rental house or apartment.
Landlord Name
Landlord Phone Number
Name of Complex
Are there any breed restrictions? YesNo
If so, what breeds?
Are there any weight restrictions? YesNo
If so, what is the weight limit?
Is there a limit on the amount of dogs allowed? YesNo
Have you ever owned a dog before? (required) YesNo
Have you ever purchase from a breeder or a pet store? (required) YesNo
Have you ever adopted from a rescue? (required) YesNo
Number of female dogs in the home (required)
Number of male dogs in the home (required)
Breeds of dogs in home
Are all your dogs spayed/neutered? YesNo
If not spayed/neutered, why?
Are all your dogs up to date on vaccinations? YesNo
Are all your dogs current on heart worm preventative? YesNo
Are all your dogs current on flea/tick preventative? YesNo
Are all your pets microchipped? YesNo
If no to any of the above, why?
Do your current pets have collars with ID tags? YesNo
Have any of your pets had medical problems in the last 12 months? YesNo
Description of medical problems
Have any of your current or former pets had behavioral problems? YesNo
Description of behavioral problems
How were these problems addressed?
Have you ever used a trainer before? YesNo
Would you seek help from a trainer if the pet you wish to adopt developed a behavior problem? (required) YesNo
What are behaviors you deem unacceptable and would return a dog for? (required)
If you do not have a cat, skip to next section. Number of cats in home?
Are all your cats up to date on vaccinations? YesNo
Are your cats allowed outside? YesNo
Are you a student? (required) YesNo
Do you travel often? (required) YesNo
Who cares/will care for your pets when you are away? (required)
Who will care for your pets in the event of your death? (required)
What are your plans for your pet in the event of major life changes? (new baby, employment changes, moving etc.) (required)
Do you currently have a vet? (required) YesNo
Vet's Name/Clinic
Vet's Phone Number
Do we have permission to contact your vet? YesNo
Are you prepared to accept the expenses of yearly booster shots, flea, tick, heartworm preventatives, and any medical needs for the entirety of the pet's life?(Possibly 10-20 years) (required) YesNo
Will you allow DFW's Furgotten Friends to conduct a home visit? (required) YesNo
Any questions/comments?
How did you hear about DFW's Furgotten Friends?
By entering your name and date below, you are submitting an application for adoption which will be reviewed by DFW's Furgotten Friends. We reserve the right to decline an application based on the responses received. All information in this application is private and will not be released to any other rescue or third party and is used solely for DFW's Forgotten Friends adoption records. Applicant Signature (required) Date (required)
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