Animal Refuge Foundation
Non-profit, 501(c)3

"We give dogs time we can spare, space we can spare and love we can spare. In return, dogs give us their all. It's the best deal man has ever made."

- M. Acklam

Home > Adoption Application

Adoption Application

Completion of this form is a requirement for adoption. The information provided helps us ensure that the adoption is in the best interest of both you and the pet.

First Name: Last Name:
Street Address:
City: State: Zip:
 
Home Phone: Mobile Phone:
 
Email Address:
We will not give your email address to anyone.
Drivers License Number: DL State:
Spouse/Partner/Roomate:
Place of Employment:
 

















Why do you want a pet?
 
Who will be responsible for the pet's care? 
 
Is this your first experience with a pet? Yes No
 
Where will this pet be kept during the day? 
 
Where will this pet be kept during the night? 
 
How many hours will this pet be left alone? 
 
List pets currently in the household:
1.  Type:     Breed:     Sex:     Spayed/Neutered?     Kept Where:     Age:
2.  Type:     Breed:     Sex:     Spayed/Neutered?     Kept Where:     Age:
3.  Type:     Breed:     Sex:     Spayed/Neutered?     Kept Where:     Age:
 
List pets, other than those listed above, owned in the past 10 years:
1.  Type:     Breed:     Sex:     Spayed/Neutered?     Kept Where: 

What happened to them?: 
2.  Type:     Breed:     Sex:     Spayed/Neutered?     Kept Where: 

What happened to them?: 
3.  Type:     Breed:     Sex:     Spayed/Neutered?     Kept Where: 

What happened to them?: 
Have you ever given an animal up for adoption or gotten rid of an animal? Yes No
If so, why?
What did you do with the animal?
 
Who is your veterinarian? (please include Phone #)
 
Are all of your pets up-to-date on vaccinations? Yes No
 
Are you familiar with heartorm disease? Yes No
Are dogs in the household on heartworm prevention? Yes No
 
Do you agree to allow an ARFhouse representative to call your veterinarian? Yes No
 
Do you rent or own your home? 
Is it an apartment, duplex, townhouse, single house, other? 
Landlord Name and Phone #: 
If you rent, do you have written permission from your landlord to have pets? Yes No
Is a pet deposit required? Yes No    If yes, how much? $ per pet per household
How long have you lived at your current address? 
Do you plan to move within the next 12 months? Yes No
If so, what would you do with your pets? 
 
Do you or your spouse travel frequently? Yes No
If so, where would your pets stay? 
 
How many people live in your household?     Children's ages: 
Have your children had pets before? Yes No    If so, what it successful? Yes No
 
Has the decision to adopt a pet been agreed upon by all adults residing at this address? Yes No
 
Can you commit to care for the animal for its entire life? Yes No
 
Does anyone in your household have known allergies to animals? Yes No
 
Any community restrictions on number of animals? Yes No
 
Are you willing to accept the financial responsibility of proper veterinary care for this animal? Yes No

DOG ADOPTERS ONLY
Do you have a fenced yard? Yes No    Type:     Height: 
Do you realize you may have to housetrain this dog? Yes No
Have you housetrained a dog before? Yes No    If yes, how? 
Are you familiar with leash and licensing laws in your community? Yes No
What will you do if your dog chews furniture or displays other destructive behavior?
Do you crate train? Yes No
How will you keep your dog confined to your property?

CAT ADOPTERS ONLY
Have you litter box trained cats before? Yes No
Will your cat go outside or be kept inside? 
Do you plan to de-claw your cat? Yes No
If you have dogs, have they been exposed to cats before? Yes No


TERMS AND CONDITIONS


I agree to the posted TERMS AND CONDITIONS