Forgotten 4-Paws - Adoption Form

*Name:
*DoB:		*Drivers Lic #:
*Address:
*City:		*County:
State:		*Zip:
*Phone:		*Email:
Length of Residency at above address (Years):
*Employer:
*Job Title:		Work Phone:

I am looking to:

I am interested in: Specific Undecided

*Specific:

Is this pet a gift?: No Yes

*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 made decision to Adopt?:

Who will be responsible for caring for the pet on a daily basis?:

Will you spay or neuter this pet?:

If this pet becomes ill or injured, are you able and willing
to spend $500 or more for veterinary care?:

Would this animal be an:

Indoors animal Outdoors animal Both Indoors and Outdoors animal

Where would this animal sleep?:

How many hours a day will your pet be home alone?:

Where will you keep your pet while gone?:

What arrangements will you make for your pet while traveling?:

Number of members in household:
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

Have you or any member
of your household been convicted of a crime against animals?:

Do you have pets currently?: No Yes

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

Which of the following best describes your home?:

House Apartment Condo Farm Mobile Dorm

Do you: Own Rent

Do you have a fenced yard?: No Yes

Have you applied with any other groups?: No Yes

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