The Misfits Dog Rescue

Adoption or Foster Application

The Misfits Dog Rescue

Please email your completed application to [email protected]om

Home visits are required.

Dog(s) you are interested in______

Please circle which you would like to do: FOSTER ADOPT

Your name ______

Phone number: ______, Alt. phone number______

Address: ______City: ______

State: ______Zip Code: ______County: ______

Email: ______

Occupation: ______

Employer: ______

Personal referenceswe may contact that have seen you interact with pets:

Name:______Phone number: ______

Name: ______Phone number: ______

How many hours a day will this dog be left alone? ______Please explain your schedule.

How long have you lived at this address? ______

Please circle one: Rent Own

If you rent, what is Landlord’s name? ______Phone number? ______

Please circle which best describes your home:

Single Family Home: Townhouse: Apartment: Duplex: Condo: Mobile home:

Do you have a fenced yard? ______

If yes, Fence material: ______Fence Height: ______

Do you have a doggy door? ______

Please list all persons including yourself, currently living in the household including namesand ages.

Name: ______Age: ______Relationship: ______

Do you have children or grandchildren that frequently visit your household? ______
If yes, how often and how old?

Please listall current petsin your household.Please include type of animal, breed, age, and gender and temperament.

1. Type: ______Breed: ______Age:______M/F ___Temperament: ______

2.Type: ______Breed: ______Age:______M/F ___Temperament: ______

3.Type: ______Breed: ______Age:______M/F ___Temperament: ______

4.Type: ______Breed: ______Age:______M/F ___Temperament: ______

5.Type: ______Breed: ______Age:______M/F ___Temperament: ______

6.Type: ______Breed: ______Age:______M/F ___Temperament: ______

If more please explain

Haveall pets in your household been neutered/spayed? ______

If no, please explain:

Are all your current pets up to date on vaccinations? ______

Have they had a Bordetella Shot? ______

Do any of your current pets have any behavioral or dominance issues? ______

If yes, please explain?

Do any of your current pets have any health issues? ______

Who is your Veterinarian? ______Phone number: ______

Why do you want to adopt or foster this dog?

Are all members of the household aware that you will be bringing home a new pet and agree to the additional family member? ________

Do any of your family members have allergies to animals? ______

If yes, what type of animal? ______

When you are HOME, where will this pet will be kept? ______

When you are AWAY, where will this pet be kept? ______
Are your pets allowed on the furniture? ______

Where will your new pet sleep? ______

Have you ever had to give up a pet? ______

If yes, please explain circumstances:

What is an acceptable reason to give up a pet? ______

It may take a while for your new pet to adjust to its new home. It will need some potty-training. Are you willing to wait/work with your pet during this time? ______
Are you familiar with your local animal control pet limit? ______Are you under that limit? ______
If you must move, what will you do with the pet? ______

If you can no longer care for this pet, what will you do with it? (Illness, age, lost job, death, etc.)?

______

How did you hear about The Misfits Dog Rescue? ______

You will likely get a follow-up call, email, and/or a home visit from a Misfits Dog Rescue volunteer to make sure everything is going well with your new pet. Do you consent to this? ______
Please add any additional comments you would like us to know:

I have read and completed all questions on the application truthfully to the best of my knowledge. I understand The Misfits Dog Rescue will rely on the informationI have provided to process this application. By submitting this document, I understand that this is not a guaranteed approval. If false information is discovered at any time, The Misfits Dog Rescue reserves the right to reclaim possession of the animal.

Applicant Signature ______Date______