Foster Dog Adoption Application

Applicant Information

First name

Last name

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Household Information

Do you own or rent?

If renting, do you have landlord approval?

Number of adults in home

Number of children in home

Ages of children

Other pets in home (species, breed, age)

Current Pets

Pets Names

Breeds

Ages

Spayed/Neutered?

Fully Vaccinated?

Adoption Questions

Why are you interested in adopting?

What qualities are you looking for in a dog?

Have you ever owned a dog before?

Have you ever surrendered a pet? If yes, explain.

Daily Care

How many hours will the dog be alone?

Where will the dog stay during the day?

Where will the dog sleep at night?

How will you exercise the dog?

Dog Preferences

Puppy or Adult Dog?

Male, Female, or No Preference

Size Preference

Energy Level Preference

Coat Color Preference (Optional)

Veterinary Information

Current Veterinarian Name

Veterinarian Phone Number

References

Personal Reference #1

Personal Reference #2

Agreement

I understand submission of this application does not guarantee placement.

I agree to provide a safe and loving home.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.