Adoption Application

To ensure our pets are going to a safe, healthy, happy forever home, and to ensure you are happy with your forever pet as well, an adoption application is a must. (We do hold the right to refuse if necessary.) Thank you!
  
* Name of Potential Owner:
* Address: 
*City/State/Zip:
*Name and description of pet applying for:
*Email address:
*Driver's License Number:
*Primary Phone Number:
*Secondary Phone Number:
*Own or Rent:                *Landlord's Contact Info:
*If you rent, are there any pet, size or breed restrictions, and if so, what are they?

*Does the COMMUNITY you live in have any animal/breed restrictions, and if so, what?

*Name of ALL living within the household: 

*Do ALL members of the household AGREE to the adoption of potential pet?
*Number of adults in house:      Number of children:  
*Does anyone in the house have any allergies to any pets? If so, what kind of pets?   
*Place of Employment:                                  
*Contact Info (work number/work email):
*Please give detailed info about the pets, if any, you have had within the last five years, including current pets:
1.  Kind of pet:               Sex:          Spayed/Neutered:        Indoor/Outdoor:
Breed:                       Dates owned:                        Age:        
2. Kind of pet:               Sex:          Spayed/Neutered:        Indoor/Outdoor:
Breed:                       Dates owned:                        Age:
3. Kind of pet:               Sex:          Spayed/Neutered:        Indoor/Outdoor:
Breed:                       Dates owned:                        Age:
4. Kind of pet:               Sex:          Spayed/Neutered:        Indoor/Outdoor:
Breed:                       Dates owned:                        Age:
5. Kind of pet:               Sex:          Spayed/Neutered:        Indoor/Outdoor:
Breed:                       Dates owned:                        Age:
6. Kind of pet:               Sex:          Spayed/Neutered:        Indoor/Outdoor:
Breed:                       Dates owned:                        Age:
7. Kind of pet:               Sex:          Spayed/Neutered:        Indoor/Outdoor:
Breed:                       Dates owned:                        Age:
*If any current pets are NOT spayed/neutered, please explain why:

*Have you ever surrendered an animal to the shelter/humane society/etc.? If so, why?

*How many hours a day will this pet be left alone?
*Do you have a fenced-in yard (question for most potential dog owners)?
*Are you moving within the next year?
*Where will this pet go if you move (see the adoption agreement!)?
*Name of Past Vet:                              City/State                  Telephone number:
*Name of Current Vet:                          City/State:                  Telephone number:
*Will you continue using current vet for pet you are considering adopting from Fur To Feathers Pet Rescue?

I verify that I have answered the above information truthfully. I understand that any falsified information would make this and future adoptions with Fur To Feathers Pet Rescue null and void. I understand Fur To Feathers Pet Rescue's aim is to match the best home with the best animal, and that they have the right to refuse. I give Fur To Feathers Pet Rescue permission to contact my current/past veterinarian(s), and landlord/property owners. I accept that adopting an animal is a very serious commitment and I am willing to accept this responsibility for the life of the pet. 

Signature:
Printed Name:
Date: