Adoption Application Applicant Information Full Name* Address (Street, City, Province, Postal Code)* Applicant Information Email Address Phone Number* Date of Birth Application Date Household Information How long have you resided at your current address? How many adults live in the household? How many children? If there are children, list their ages: Is everyone in your household aware and supportive of this adoption? YesNo Do any household members have pet allergies? YesNo Current & Past Pets Please list current pets (species, age, sex, spayed/neutered): Have you owned pets in the past? YesNo Who will be primarily responsible for the care of this pet? How many hours will the pet be alone daily? Where will the pet stay when home alone? Where will the pet sleep at night? Do you have a fenced yard? YesNo Veterinary Information Veterinary clinic name, phone, and name on file: May we contact your current or past veterinarian for a reference? YesNo Are you financially prepared for routine and emergency veterinary care? YesNo Pet Integration & Expectations How will you integrate the new pet with your existing pets? Do you understand it can take several weeks for a new pet to adapt? YesNo Pet Preference Name of pet you’re applying for (if applicable): Are you open to a different pet recommendation? YesNo Applicant Certification By submitting this application, I certify that the information provided is complete and truthful. I understand that: This application does not guarantee approval. Fur-st Responder Animal Rescue Society may deny any application. Home checks, reference checks, and meet-and-greet appointments may be required. The adopted animal will be kept as a companion pet and not used for breeding or resale. Date Signature (type your full name)
