F.L.U.F.F.
Furry Lives u’ll Fall For

DOG/PUPPY APPLICATION

Date ______Name_______

Street______City______State_____ Zip______

Home Phone ______Cell phone______

Place of employment ______Work phone ______

Name(s) of dog/puppy(s) Applying for______

Are you familiar with the needs and temperament of this breed of dog/puppy?______

Why do you want a dog/puppy?______

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Do you live in a: House ( ) Condominium ( ) Apartment ( ) Mobile Home ( )

Do you: Own ( ) Rent ( ) Landlord Name ______Phone ______

Do you have a fenced yard? Yes ( ) No ( ) describe:______

Are you planning on relocating? (explain)______

Do you live with: Parents ( ) Spouse ( ) Children ( ) Roommate ( ) Alone ( )

What are the ages of ALL the members of your household:______

Do any children (not listed above) visit frequently? Yes ( ) No ( ) If yes, list ages:______

May we visit your home prior to approval of application? Yes ( ) No ( ) Explain:______

Name, Address, and Phone number of current Veterinarian ______

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Name that Vet records are listed under____________

Name, Address, and Phone number of Personal reference______

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Have you ever adopted a rescue dog/puppy before? _____ If yes, list the name of the organization and the contact person. ______

List all pets owned in the past ten years and include the following information on each:

Breed, Age, Sex, Spayed/Neutered?, Indoor?, Outdoor?, Owned how long?, What happened to it?

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Wherewill this dog/puppy live? Indoor Only ( ) Outdoor Only ( ) Indoor/Outdoor ( )

How much time each day will the dog/puppy be: indoors? ______Outdoors? ______Alone? ______

Where will the dog/puppy sleep?______

Are you familiar with the crate method of housetraining a dog/puppy?____________

How long do you expect it to take for your dog/puppy to adjust to its new surroundings and family? ______

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Will your dog/puppy receive formal obedience training?______

Are you familiar with the state and local leash ordinances?______

Who will have primary care of this dog/puppy?______

What kind of dog food do you plan to feed your dog/puppy?______

Who will care for your dog when you are away?______

Do any members of your household have known allergies to dogs?______

Under what circumstances would you no longer be able to keep your dog/puppy?______

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Many factors go into determining which applicant will be matched with a particular dog/puppy. If you are not chosen for this dog/puppy, it does not mean that you are not considered a good pet owner or that your home is not acceptable. Our goal is to place this dog/puppy in the home that will best suit its needs. Thank you for your willingness to give a rescue dog a second chance.

I have completed this application truthfully and I understand the application process.

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Signature Date