Furry Friends Rescue Dog Online Adoption Application
Please fill out all REQUIRED fields. You can also download a PDF version.
print, fill out, and bring with you in person to an adoption showcase.

  1. All family members must be present at the adoption showcase and/or the home visit in order to meet and adopt the dog/puppy.
  2. Renters must provide a "Written Letter of Approval" from landlord allowing the pet.
  3. Dates and times of dog adoption showcases may be found here.
  4. See our "How to Adopt" page for information on criteria for adoptions.
Name of Dog Interested In/Breed:
REQUIRED
Your Name
 REQUIRED
Day Phone:
 REQUIRED
Evening Phone:
 REQUIRED
Address (Street1)
 REQUIRED
(Street2)
City,State,Zip
 REQUIRED
Email Address
 REQUIRED

 

  1. How did you hear about Furry Friends Rescue?
    Why do you want to adopt a dog?
  2. What type or breed?
    Male Female
    Age Range Color
    Hair Type
    Activity Level
    Type of Activity
    Size
  3. Where would the dog stay during the day??
  4. Do you have an enclosed yard? Yes No
    How tall is your Fence?
  5. Where will your dog sleep at night?
  6. How long will your dog be alone during the day?
    Where will he/she stay?
  7. Who will be primarily responsible for the dog's care?
  8. Do all members of your household want a dog? Yes No
    If no, please explain:
  9. Do you know that dogs require yearly vaccinations? Yes No
  10. Do you plan to walk your dog everyday? Yes No
    Any special activity?
  11. How are you planning to obedience train your dog?
  12. What will you do if your dog develops behavior problems?
  13. Do you have a vet? Yes No
    If so, may we contact them for reference? Yes No
    Name of Vet:
    Vet Phone:
    Vet Address:
    Vet City: State: Zip:
  14. Do you understand that you will be sharing your life with a dog for 14-18 years, who is totally dependent on you for food,shelter,health, and veterinary care? Are you willing to make this long term commitment to a dog as a family member?
    YES NO ****REQUIRED****
FAMILY INFORMATION
  1. How many adults in your household? (including yourself) *REQUIRED*
    How many children in your household? Ages?
  2. Do you have children visiting? Yes No
    If so, how often? Ages of children?
  3. If you have pets currently, please list them below:
    Type of
    Animal    		 Age Sex Spayed/
    Neutered    		 Indoor/
    Outdoor
  4. Please list all the animals you have had in the past 5 years that are NOT LISTED ABOVE
    Type of
    Animal    		 Age Sex Spayed/
    Neutered    		 I=Indoor,
    O=Outdoor,
    B=Both    		 What Happened?

  5. Do you live in a *REQUIRED*
  6. Do you Rent or Own? *REQUIRED*
    If renting - Landlord Name:
    If renting - Landlord Phone:
  7. Would you agree to a home visit to ensure that it is secure for the pet?
     Yes, I agree to a home visit. *REQUIRED*
    No, I do not agree to a home visit.

    ------------------PLEASE READ AND CERTIFY THE FOLLOWING-------
    I certify that all information in this application is true, and I understand that false information may void this application. I agree that upon adopting a pet from Furry Friends Rescue, I will agree and abide by their Adoption Agreement.
    Yes, I certify that this is true : *REQUIRED*

    Notes/Special Instructions for Furry Friends Rescue

    If everything looks ok, type in the verification number in the box below and press Submit button.
       

    Please click to clear form and start over