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 - F4P1511 - Black and White 2 - Cat - Courtesy Post1505 - Black and White Kitten - Cat - Courtesy Post1311 - Bo - Cat - F4P1490 - Chanel - Cat - F4P1510 - Dad Jr - Cat - Courtesy Post1538 - Donovan - Cat - F4P1299 - Dover - Cat - F4P1308 - Draco - Cat - F4P1306 - Dresden - Cat - F4P1307 - Flame - Cat - F4P1521 - Genevieve - Cat - Courtesy Post1429 - Gracie - Cat - F4P1428 - Guthrie - Cat - F4P1498 - Harvey - Cat - F4P1036 - Hoobie - Cat - Courtesy Post1542 - Lizzy - Cat - F4P1535 - Maize - Cat - Courtesy Post1480 - Melvin - Cat - Courtesy Post1508 - Midnight - Cat - Courtesy Post228 - Miranda - Cat - F4P1443 - Misty - Cat - F4P1447 - Moose - Cat - F4P1496 - Morpheus - Cat - Courtesy Post1539 - Murray - Cat - F4P1316 - Nellie - Cat - F4P1315 - Nick - Cat - F4P1543 - Ninjas - Cat - Courtesy Post1460 - Ramona - Cat - Courtesy Post1225 - Rico - Cat - Courtesy Post1540 - Rudy and Zipper - Cat - Courtesy Post1509 - Runt - Cat - Courtesy Post1043 - Snoogles - Cat - F4P1424 - Squeaky - Cat - F4P1317 - Squirt - Cat - F4P1532 - Summer - Cat - F4P1506 - Tabby - Cat - Courtesy Post1507 - Tiger - Cat - Courtesy Post1536 - Tux - Cat - Courtesy Post1274 - Wendy - Cat - F4P1528 - Axel - Dog - Courtesy Post1466 - Barnaby - Dog - F4P1533 - Belle - Dog - Courtesy Post1488 - Bentley - Dog - Courtesy Post1541 - Brindle - Dog - Courtesy Post1476 - Brutus - Dog - Courtesy Post1469 - Jasmine - Dog - Courtesy Post1527 - Luna - Dog - Courtesy Post1503 - Shep - Dog - Courtesy Post1537 - Teddy - Dog - Courtesy Post1534 - Tipsy - Dog - Courtesy Post1529 - Zadie - Dog - F4P1489 - Zeke - 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 Do you plan on declawing this pet? Yes No N/A 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