ADOPTION APPLICATION

Please complete the application in its entirety. Incomplete applications will delay processing. Note that we are an all volunteer group and we will process your application as quickly as practical; patience appreciated.

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*First Name *Last Name *Address *City *County State OHAKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOKORPARISCSDTNTXUTVAVTWAWVWIWY *Zip *Email *Phone *DoB *Drivers Lic # Length of Residency at above address (Years) Less Than One Between One and Two Between Two and Three Between Three and Four Between Four and Five Greater Than Five *Employer *Job Title Work Phone

I am looking to Adopt Foster I am interested in Specific Undecided

*Specific 1314 - Allie - Cat - F4P1263 - Annie - Cat - Courtesy Post1269 - Applebee - Cat - F4P844 - Ash - Cat - F4P1335 - Ashley - Cat - Courtesy Post1104 - Bambi - Cat - F4P1209 - Beaker - Cat - F4P1305 - Beaker 2 - Cat - F4P1179 - Bing - Cat - F4P1192 - Bixby - Cat - Courtesy Post1236 - Blue - Cat - F4P1311 - Bo - Cat - F4P1323 - Bobo - Cat - F4P1318 - Bojangles - Cat - F4P1270 - Brio - Cat - F4P1334 - Bugsy - Cat - F4P1325 - Bunsen - Cat - F4P1284 - Butters - Cat - F4P1237 - Cali - Cat - F4P269 - Carmel - Cat - F4P1312 - Christopher Robin - Cat - F4P1262 - Cleo - Cat - Courtesy Post271 - Colleen - Cat - F4P1313 - Colorado - Cat - F4P278 - Cricket - Cat - F4P1285 - Daisy - Cat - Courtesy Post1322 - Daisy - Cat - F4P1300 - Destiny - Cat - Courtesy Post1299 - Dover - Cat - F4P1308 - Draco - Cat - F4P1306 - Dresden - Cat - F4P1267 - Emily - Cat - F4P1307 - Flame - Cat - F4P819 - Galucci - Cat - F4P1245 - Georgia - Cat - F4P1333 - Gigi - Cat - Courtesy Post1324 - Gigi - Cat - F4P1051 - Grumpy - Cat - F4P1326 - Gus - Cat - F4P1049 - Hattie - Cat - F4P1283 - Himmie - Cat - Courtesy Post1301 - Honey Bunn - Cat - Courtesy Post1036 - Hoobie - Cat - F4P1243 - Jackson - Cat - F4P1254 - Jan - Cat - F4P1253 - Java - Cat - F4P1252 - Jersey - Cat - F4P1259 - John - Cat - Courtesy Post1296 - Kelly - Cat - F4P1275 - Kermit - Cat - F4P1112 - Lucki - Cat - F4P1337 - Lucy Lou - Cat - Courtesy Post1048 - Maddie - Cat - F4P227 - Major - Cat - F4P1304 - Miatsu - Cat - F4P1256 - Michael - Cat - F4P351 - Minnie - Cat - F4P1320 - Miracle - Cat - Courtesy Post228 - Miranda - Cat - F4P1338 - Mittens - Cat - Courtesy Post611 - Molly - Cat - F4P1238 - Montana - Cat - F4P1207 - Mudgee - Cat - F4P1316 - Nellie - Cat - F4P1315 - Nick - Cat - F4P1272 - Noodles - Cat - F4P1223 - Omar and Ollie - Cat - F4P1273 - Panera - Cat - F4P1276 - Piggie - Cat - F4P1303 - Pixie - Cat - Courtesy Post1230 - Pizazz - Cat - F4P1287 - Rascal - Cat - Courtesy Post1260 - Rascal - Cat - Courtesy Post1288 - Raspberry - Cat - Courtesy Post1225 - Rico - Cat - Courtesy Post1290 - Sally - Cat - Courtesy Post1226 - Sassy - Cat - Courtesy Post1319 - Scarlet - Cat - F4P1195 - Shadow and Taz - Cat - Courtesy Post1032 - Sidney - Cat - Courtesy Post1336 - Sissy Sue - Cat - Courtesy Post1180 - Sneakers - Cat - F4P1043 - Snoogles - Cat - F4P1317 - Squirt - Cat - F4P1302 - Tazie - Cat - Courtesy Post1244 - Tex - Cat - F4P1261 - Tiger - Cat - Courtesy Post755 - Tiger Lilly - Cat - F4P1289 - Tigger - Cat - Courtesy Post346 - Tigger - Cat - F4P1169 - Tinker - Cat - F4P1332 - Tony - Cat - Courtesy Post1328 - Torte - Cat - F4P1321 - Tula - Cat - Courtesy Post333 - Valentine - Cat - F4P1295 - Vanilla - Cat - Courtesy Post1242 - Vivienne - Cat - F4P1274 - Wendy - Cat - F4P1268 - Wile E. Coyote - Cat - F4P1160 - Albert - Dog - Courtesy Post1197 - Atticus - Dog - Courtesy Post1266 - Buckeye - Dog - F4P1173 - Dazz - Dog - F4P1117 - Galan - Dog - F4P846 - Honey - Dog - Courtesy Post1330 - Jake - Dog - Courtesy Post638 - Kyle - Dog - Courtesy Post1216 - Maggie - Dog - Courtesy Post1213 - Mason - Dog - Courtesy Post641 - Midnight - Dog - Courtesy Post1227 - Sassy and Max - Dog - F4P1217 - Snickers - Dog - Courtesy Post1339 - Sunday - Dog - Courtesy Post1331 - Toby - Dog - Courtesy PostSpecific (Use only if pet is not listed)

I would Like Dog Puppy Cat Kitten I Would Prefer A Male Female Either Special Considerations (leave Blank if not applicable)

Breed Weight (lbs) Age

Is this pet a gift? No Yes

*Who is the recipient? *Age

*Reason for wanting a pet (select all that apply) Watchdog Barn/Mouser Hunting Child's Pet Companion Breeding Family Pet Companion for other pet

Who will be responsible for caring for the pet on a daily basis? Will you spay or neuter this pet? Yes No If this pet becomes ill or injured, are you able and willing to spend $500 or more for veterinary care? Yes No

Would this animal be an Indoors animal Outdoors animal Both Indoors and Outdoors animal

*What type of shelter would you provide?

Where would this animal sleep? How many hours a day will your pet be home alone? Less Than One Between One and Three Between Three and Five Between Five and Seven Between Seven and Nine More Than Nine Where will you keep your pet while gone? What arrangements will you make for your pet while traveling?

Number of members in household One Two Three Four Five Six Seven Eight or More Name(s) and date(s) of birth of all household members including children (if applicable) Name DoB Name DoB Name DoB Name DoB More household members? No Yes

Name DoB Name DoB Name DoB Name DoB

Do you or anyone in your household have allergies or asthma? No Yes

*Please Explain?

Have you or any member of your household been convicted of a crime against animals? No Yes

Do you have pets currently? No Yes

How Many Pets? One Two Three Four Five Six Seven Eight or More Please list name, type, ages and where housed Pet Name Pet Type Pet Age Housed Pet Name Pet Type Pet Age Housed Pet Name Pet Type Pet Age Housed Pet Name Pet Type Pet Age Housed *Name of Veterinarian *Vet Phone More Pets? No Yes

Pet Name Pet Type Pet Age Housed Pet Name Pet Type Pet Age Housed Pet Name Pet Type Pet Age Housed Pet Name Pet Type Pet Age Housed

Have you had pets in the past (other than listed above)? No Yes

What type and where are they now? Type Where is it? Type Where is it? Type Where is it? Type Where is it? *Name of Veterinarian *Vet Phone

Which of the following best describes your home?: House Apartment Condo Farm Mobile Dorm Do you: Own Rent

Does your Landlord allow Pets?: Yes No *Name of Landlord or complex *Landlord Phone

Do you have a fenced yard?: No Yes

*Fence Type *Fence Height (feet)

Have you applied with any other groups?: No Yes

*Which Group? *What Happened?

Please provide contact information of a personal reference *Name *Address: *City State OHAKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOKORPARISCSDTNTXUTVAVTWAWVWIWY *Zip *Phone *Relationship

Please include any comments that will assist us in making the decision (max 250 characters)

I understand that Forgotten 4-Paws reserves the right to deny an adoption to anyone that does not meet the organization's adoption criteria. I understand that completing an application does not guarantee approval. By checking the box below, I indicate that I have answered every question truthfully and am aware that any false answers will be grounds for immediate rejection. I give Forgotten 4-Paws permission to contact all references and veterinarian(s), giving them permission to verify all application information.

*Check Box if you agree