http://www.sabbathrescue.org/main.asp?id=29

Adoption/Foster Application

Date: ___________ Name of  Dog Desired: _________________

Name: _________________________________________________________

Address: ____________________________ Apt. # __________________

City/State/Zip: _______________Home Phone ______________________

Employer: ___________________Work Phone ______________________

Driver’s License Number: ________________________________________

E-Mail Address: ______________________________________________

1)                 Do you live in a: | Condominium | Apt. |House | Mobile Home | Townhouse | Other

2)                 How long have you lived at this address?_______

3)                 Do you | Rent | Own | Other: Explain ______________________

4)                 If you rent:

(a)               Is your lease | Yearly | Month-to-Month | Week-to-Week

(b)               Name & phone # of landlord:______________________________

(c)               Landlord approval | Yes | No | Unsure

(d)               Restrictions (i.e., weight limit of pet) ___________________

5)                 Are you ?a member of a Condo or Home Owners Association? ______

(a)               Name of complex/association: _______________________

(b)               Restrictions (i.e., weight limit of pet) ___________________

6)                 How many adults reside in the household? _______________________

7)                 Are there children living in your home? _______  Ages? ___________

8)                 What are you looking ?to adopt? | Dog | Puppy |

9)             Have you ever turned in an animal to an animal shelter before?  ____

   If yes, reason? ____________________________________________

10)             Does it matter if the pet is housebroken?   _____

11)             Would there be anyone home during the day?  __________

   If yes, who? ___________________________________________

12)             Has anyone in the household ever had an allergy to animal hair? ____

13)             How many pets have you owned in the last 5 years? _____________

?If you no longer have these pets, what is the reason______________

14)             How many dogs are currently in your home? _____________________

(a)    Breed/Sex of dogs: __________________________________

(b)    Are they spayed/neutered? ____________

(c)     Do your dogs live  ! Outdoors  !  Indoors

(d)    Are they up-to-date on their vaccines? ! Yes  ! No  ! Unsure

(e)    What brand of dog food do you buy? _________________________

(d)    Are they up-to-date on their vaccines? | Yes | No | Unsure

(e)       What brand of cat food do you buy? ________________________

17)             Would your new pet be living | Indoors| Outdoors | Both

18)             Where will your new pet sleep? _______________________________

19)             Where will your new pet be when no one is home? __________________

20)             Where will you new pet be while you are at home? __________________

21)             Is your ?yard fenced? | Yes | No

If yes, type of fence  _________ and height _________________

22)             Which of the following will be provided for your new pet?

Doghouse |Patio | Porch | Crate/Cage | Chain/Tie | Walks

23)             How do you control fleas/ticks on your pets? _________________

24)             Who is your veterinarian?  _________________________________

Phone # _________________Location ___________________________

25)             Why do you want to adopt a pet rather than purchase one? _____________________________________

I agree that all information that I have given is correct as written.

Signature: ______________________ Date:____________________________

Amount Paid:______________________

Phone: 305-799-1567

Emails: sabbathrescue@hotmail.com