GA App

*Please be sure to submit applications on a computer, as we have had issues with those submitted on mobile devices.* To adopt a pet, you must: (1) Show a government issued picture ID, and (2) Be at least 18 years of age.

Are you currently interested in adopting a specific adoptable dog? *
Which adoptable dog are you interested in? *
If not listed, what is the name of the dog? (List N/A if no preference)
If not interested in a particular dog, what type of dog are you seeking?
How did you hear about Furever After Rescue? *
Are you willing to allow a representative of Furever After Rescue, Inc. to visit your home to see where your pet will be living? *Please note: We ask to visit to be sure that the pet you adopt is going to a good home and the pet is a good fit for your lifestyle.
If no, please explain.
Applicant First Name *
Applicant's Last Name *
Street address 1 *
Address Line 2
City *
State *
Zip Code *
Phone Number (Please provide a number that can receive text messages) *
Alternate Phone Number
Email *
Age *
Current Occupation *
How long have you lived at your current residence? *
Do you currently rent or own your residence? *
If you rent, please provide your landlord's name and phone number.
How many adults (aged 18+) currently reside at home? *
Please provide the first and last names of all adults in the household: *
How many children (aged 0-18) currently live at home? *
If children (aged 0-18)reside in the home, please list their ages. *
Does anyone currently residing in your home have any known allergies to animals? *
Which best describes your experience as a pet owner? *
If you currently own a pet(s), what is/are the type(s), breed(s), sex, and approximate age(s) of the animal(s)? *Please type N/A if you do not currently have any pets.
Are all of your pets spayed and/or neutered? *
Are all of your pets currently up-to-date on vaccinations? * yes\| no\| I do not currently have a pet
Are all of your pets current on heartworm prevention and heartworm tested within the last year? *
Do any other animals live in your home besides those you own (for example a roommate's pet or an animal you are watching for someone else temporarily or for an extended period)? *
If yes, please explain.
Have you ever surrendered or given away an animal? *
If yes, what were the circumstance(s) that led to the surrender?
Have you ever had to euthanize an animal? *
If yes, what were the circumstances?
I want a pet because: *
If other, please explain.
The pet I adopt must be good with: (Please select all that apply) *
If other, please explain.
I have the following at my home: (Check all that apply) *
If you have yard fencing, please describe the type.
When I am not at home, my pet will be: *
If other, please explain.
When I am at home, my pet will be: *
If other, please explain.
At night, my pet will sleep: *
If other, please explain.
Will your schedule change in the near future? (If yes, please mention any work or other schedule changes that will impact the dog's care or time with humans) *
I want a pet that can be alone: *
I want a pet that is by my side: *
I want a pet that likes to be held: *
I want a pet that enjoys being with children: *
I want a pet that likes to be outside: *
I want a pet that is vocal or "talkative": *
I am open to a pet that is part of a bonded pair (2-for-1 adoption). *
I am open to adopting a pet with special medical needs. *
I am looking for a pet that is playful (with toys, children, people, etc.) *
I am open to an older pet (5 years or older) *
Which of the following levels of basic manner training would you prefer them to have? (No jumping up, no pulling on leash, no stealing of food, etc.) *
Which of the following circumstances do you see as being an understandable reason to return or surrender a pet? (Check all that apply) *
If other, please explain.
What are your plans for the dog/puppy if something happens to you (illness, incapacitation, senior living accommodations, accident/personal tragedy, or death) during the dog’s lifetime? *
Will you keep your pet's vaccinations up-to-date? *
If you have a current veterinarian, please list his/her name and number (Please also provide contact information for vets of past pets if you have had pets in the past):
Please provide the name and phone number for at least two (2) personal or professional references (non-family references required). *
Comments and/or Questions
I agree that all statements I have made on this form are true. I understand that knowingly giving false information is grounds for denial of application and/or the repossession of the animal if the application has been approved. I understand that Furever After Rescue, Inc. reserves the right to deny any application. *
Potential Adopter's Name *
Potential Adopter's Signature *
Date *