Forever Home Rescue New England Adoption Application

42. Adults

Age:

Gender:

Adult #1:

Adult #2:

Adult #3:

Adult #4:

44. Children

Age:

Gender:

Child #1:

Child #2:

Child #3:

Child #4:

45. Describe your children's experience with dogs, if any.
46. If you do not have any children living with you, will your rescue dog come into regular contact with children under the age of 8?

yes no
47. If yes, how often?
48. What ages?
49. Does anyone in your household have allergies?

yes no
50. If yes, please explain:
51. Does anyone in your household have behavorial problems or disabilities?

yes no
52. If yes, please explain:
53.Is everyone in your household aware of and in agreement with adopting a rescue dog?

yes no
54. If not, who is not in favor and what are their concerns or objections?
ABOUT YOUR PETS, PAST AND PRESENT

55. Please list current pets living with you (excluding fish). If no pets, leave blank.

Pet's Name

Type i.e. dog/cat

Breed (dog only)

Age

Gender

Spayed/Neutered?

How long owned

56. Previous DOG(S) you owned within the past 10 years. If none, leave blank.

Pet's Name

Breed

Age

Gender

Spayed/Neutered?

How long owned

What happened to dog?

How long ago

57.Have you ever had to rehome a dog, or return a dog to a shelter or rescue, and if so, why?
58. If you have never been the primary caretaker of a dog, please describe your dog experiences:
59. Current veterinarian:
60. Phone Number

Area Code Phone Number
61. Previous veterinarian:
62. Phone #:

Area Code Phone Number
PLANS FOR YOUR RESCUE DOG
63. Who will be the primary caretaker for the dog?
64. When no one is home, the dog will be:

Crated Have free run of the house Restricted to certain room Kept outdoors
65. How will you exercise your dog?
66. How long will your dog be left alone on a regular basis?
TWO PERSONAL REFERENCES REQUIRED
67. First reference: Full Name

First Name Last Name
Relationship to applicant:
Phone Number

Area Code Phone Number
68. Second reference: Full Name

First Name Last Name
Relationship to applicant:
Phone Number

Area Code Phone Number
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APPLICANT'S INFORMATION