Adoption/Foster Application

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Please select whether you are applying for adoption or to foster. This form is non-binding and completing it is a requirement to schedule a meet and greet with any of our available dogs for potential adoption. Additionally if you would like to foster, complete this form. You must fill in all required fields (marked with *) to Submit.
I am filling this application out for ... : * Select Adopt or Foster
Animal Name of Dog interested in:
If Adopting
First Name: *
Last Name: *
Date of Birth: *
Street Address: *
City: *
State: *
Zip: *
Jurisdiction: Hide for now, was trying to add additional fields
Primary Phone Type: *
Home Telephone: *
Cell Phone: *
Work Phone: *
SecondaryPhoneType:
Home Phone:
Cell Phone:
Work Phone:
Email Address: *
List All Pets Living in the Home Currently: *
List All Pets in Home last 5 years no longer there: *

Veterinarian: *
Veterinarian Phone Area Code:
Veterinarian Phone: *
How Long Have You Been With This Vet: *
Vet Records are under What Name: *
Please contact your vet to give permission for us to talk to them.
List of children living in my home (names and ages): *
List of other adults living in my home (name, relationship, and date of birth): *
Adoption Preferences	Male Female Puppy 2m-6m Puppy 6m-1y Young Adult 1y-3y Adult 3y-7y Senior 6y+ Healthy No Medical Issues Minor Medical Issues Ok Must be potty trained I can potty train my own pet Must be good with dogs Must be good with kids Must be good with cats Must be low shedding I would be interested in adopting a bonded pair of dogs I am interested in a dog that is laid back and not very active I am interested in a very active dog that would want to jog with me I am interested in a dog that would like to play actively but then would be laid back I am interested in taking my adopted dog to obedience classes I am interested in agility and would like a dog that would excel in agility
Where my Pet will sleep at night: *
Where my pet will stay when I am home during the day: *
Where will my pet stay when I'm not home during the day: *

Employment: I am currently *
How will your pay for your Pet's expenses * if not employed...
Employer Name: *
Employer Street Address: *
Employer Street Address Line 2:
Employer City: *
Employer State: *
Employer Zip: *
Employer Phone: *

Length of Time at Current Address: *
I currently reside in a place I ... : *
Landlord's Name *
Landlord's Phone *
Landlord's Email *
Type of Fence *

Reference #1 (Name, years, known, phone #, and relationship to self) *
Reference #2 (Name, years, known, phone #, and relationship to self) *
Reference #3 (Name, years, known, phone #, and relationship to self) *
Please List any attributes you do not want in your pet: *
Please List any attributes you would like to have in your pet: *

You can upload up to 3 images or screenshots of any documents you may want to send such as vet records or lease agreements to speed up your approval.
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Please upload any documents you may want to send such as vet records or lease agreements to speed up your approval This not working currently, so Hide Please upload any documents you may want to send such as vet records or lease agreements to speed up your approval Browse Files Cancelof
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