adoption-app

Name:
Email Address:
Phone Number:(Home)
Phone Number:(Work/Cell)
Address:
City:
Postal Code:
Please give us an idea of your household situation such as number of adults and their occupations, children in the home and their ages, others in the home:
Does your entire household agree to this adoption?	Yes No
Is anyone in the household allergic to animals?	Yes No
If someone is allergic to animals, what kind?
Do you currently own other pets?	Yes No
If you currently own other pets, how many and what kind?
Are all currently owned pets up to date with vaccinations?	Yes No
Are all currently owned pets neutered/spayed?	Yes No
If not, please give reason why:
Current veterinarian and phone number if applicable:
If no pets currently owned, what if any is your past experience with dogs/cats?
Do you currently own or rent your home?
Landlord's name and phone number if applicable:
Is your home located on:
Is your yard fully fenced?	Yes No
Please list a reference that knows you as a pet owner, or who can vouch for your overall responsibility and give their email address or telephone number where we may contact them:
About Your Desired Pet - What is your reason for wanting a pet?
If you are applying for a specific pet posted on our site, please give their name and 4LC ID #:
If already adopted would you like us to keep this application on file and notify you when a similar pet comes available?	Yes No
Have you spoken with a 4 Love of Canines Associate?	Yes No
If yes, please give their name:
If you did not see a specific pet posted on our site that you are interested in, please tell us the type of pet you would like to adopt and your desired breed:
Would you accept a mixed breed?	Yes No
Desired age of pet:	Baby (weaned to 6 months) Young (6 months to 2 years) Adult (2 years) Any age
Approximate size:	Small (25lb or under) Medium (25lb to 75lb) Large (75lb to 150 lb) Extra Large (Over 150 lb) Doesn't matter
Sex:	Male Female Either
If the pet is not altered, do you agree it will be done when the pet reaches six months of age or when it reaches maturity as determined by your veterinarian?	Yes No
Do you have any special requests such as color or training?
Who will be the primary caregiver?
If adopting a dog, what are your plans for exercising your pet?
Will the pet live:	Mostly Indoor Only Indoor Mostly Outdoor Equal time spent Indoor and Out
How many hours of the day will the pet be left at home alone during the day?
Please check if you are willing to give a home to the following pets: (Check all that apply)	an elderly pet one with medical issues one that needs immediate training/obedience classes?
What type of pet issues would you be committed to working with the pet to correct such as house breaking, chewing, barking, crate training, etc.?
What type of pet issues would be unacceptable to you and cause you to return a pet?
How long will you give your new companion animal to adjust to its new home?
In your opinion what is the best quality in a pet?
In your opinion what is the worst fault in a pet?
Would an unscheduled visit before or after the adoption from a 4 Love of Canines Associate be acceptable to you?	Yes No
If you answered no to the above question please tell us why?
Upon submitting this application, you agree that the addition of a family pet is an important decision. You have thought through possible changes in your life, and feel that you would still be willing and able to care for a pet should they occur. You have	Yes No
Date application was sent:
Where did you hear about 4 Love of Canines Animal Rescue and Adoption?