Dog adoption/foster application Please enable JavaScript in your browser to complete this form.Which Dog(s) are you applying for?(Enter "GENERAL" if not for a specific dog) *Are you applying to foster or adopt? *AdoptFosterIf this is a "General" application, please choose the age(s) you are interested in: PuppyYoungAdultSeniorAnyYour Name *Email ****We do communicate via email - make sure to check your spam file through this process***Date of BirthMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Home Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome PhoneCell PhoneEmployer name and address *Employer PhoneSpouse/Partner Name and AgeSpouse/Partner BirthdateMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Spouse/Partner employer name and phoneNumber of adults in the home *Number of children in the home *Age of adults/children in home (other than spouse/partner listed above)List relationship of other adults in the home to the adopterDoes everyone in the home agree to this adoption? *YesNoWhat is your current living situation? *OwnRentOtherIf "other" was chosen, please explain:If you rent does your landlord have any pet restrictions?If you rent- Landlord name and contact numberHow long have you lived at this address? *If less than 2 years list previous addressDo you have any other pets in the house? *If yes - list type (cat, dog, etc) names and ages of current pets.Are all current pets spayed/neutered and up to date on all vaccinations? **** WE must verify this info with your vet - call them and give them permission to speak to us ***Where will the dog sleep? *What plans are in place to deal with long days and overnight trips? *Do you have a fenced in yard? *Please list all previous pets and tell us why they are no longer with you.List the name of the vet(s) you currently use and/or who would have access to past vet records. *Vet Phone NumberIf you do not have a current vet list who you plan to use.What plan do you have for the care of your pet(s) when you are away from home for vacations, weekends, etc: *Have you ever given up a pet? If yes when and what was the reason? *Please list any information that you believe we would want to know about you family, your pets or your home.Personal reference 1 (family member) *Personal reference 1 Number *Personal reference 1 Relationship* *Personal reference 2 (long-term friend or family member) *Personal reference 2 number *Personal reference 2 Relationship *Personal reference 3 (friend or family member) *Personal reference 3 number *Personal reference 3 Relationship *I swear or affirm that all information on this application is true and correct. I further swear or affirm that nothing has been withheld that would adversely affect my consideration for adoption and that nothing in my background might disallow me from being considered for adoption of a cat or of any other animal. I swear or affirm that this cat is for my own personal enjoyment and is expected to be my cat and that I am not making this application for any third person or organization or group. I further swear or affirm that no one living in my home has ever been prosecuted, successfully or unsuccessfully, on animal cruelty charges or any similar charges AND that I have never been refused by any other adoption agency or rescue or shelter for adoption of any other dog or other animal. I hereby give permission to Forever Love Rescue to verify any information listed on this application and for Forever Love Rescue to do any background checks necessary to process this application. I acknowledge that I have read, understand, and agree with this entire application. *YesNoSELECT YES IF YOU AGREE*Please type your name to agree to the above statement and authorize the release of records:CommentSubmit