Adoption Application

Furever After Rescue, Inc.

P.O. Box 7075

Macon, GA 31209

(478) 714-5638

fureverafterrescuega@gmail.com

Thank you for your interest in adopting a pet from Furever After Rescue, Inc. By choosing adoption you are saving a life. This pre-adoption application and a consultation with a Furever After Rescue, Inc. representative are designed to help you find the pet most compatible with your lifestyle.

To adopt a pet, you must:

(1) Show a government issued picture ID, and

(2) Be at least 18 years of age.

Section 1: General Information

Are you currently interested in a specific animal from our "adoptables"? *

Yes

No

If yes, what is the name of the animal?

If no, what type of animal are you currently 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. *

Yes

No

If no, please explain.

Section 2: Contact and Personal Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Age *

Occupation *

How long have you lived at your current address? *

Do you rent or own your place of residence? *

Rent

Own

If you rent, please list your landlord's name and phone number.

How many adults (Aged 18 or over) currently reside at your home? *

How many children (Under 18) currently reside at your home? *

If children (Under 18) currently reside in your home, what are their ages?

Does anyone currently residing in your home have any known allergies to animals? *

Yes

No

Section 3: Pet Specifications

Which best describes your experience as a pet owner? *

I have never owned a pet

I have owned a pet in the past (Over a year ago)

I have owned a pet in the past year, but do not currently

I currently own a pet

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 or neutered? *

Yes

No

I do not currently have a pet.

Are all of your pets currently up-to-date on vaccinations? *

Yes

No

I do not currently have a pet.

Have you ever surrendered an animal to an animal shelter? *

Yes

No

If you answered yes to the question above, what were the circumstances?

Have you ever had to euthanize an animal? *

Yes

No

If you answered yes to the above question, what were the circumstances?

I want a pet because... (Please check all that apply) *

The pet I adopt must be good with... (Please check all that apply) *

I have the following at my home: (Check all that apply) *

If you have a fenced-in yard, please describe the fencing.

When I am not at home, my pet will be *

When I am at home, my pet will be... *

At night, my pet will sleep... *

I want a pet that can be alone... *

More than 9 hours a day

4-8 hours a day

Less than 4 hours a day

I want a pet that is by my side... *

All the time

Sometimes

Not too much

I want a pet that likes to be held... *

All the time

Sometimes

Not too much

I want a pet that enjoys being with children... *

All the time

Sometimes

Not too much

I want a pet that likes to be outside... *

All the time

Sometimes

Not too much

I want a pet that is vocal or "talkative"... *

All the time

Sometimes

Not too much

I am open to a pet that is part of a bonded pair (2-for-1 adoption). *

Yes

No

I am open to adopting a pet with special medical needs. *

Yes

No

I am looking for a pet that is playful (with toys, children, people, etc.) *

Yes

No

I am open to an older pet (5 years or older) *

Yes

No

Which of the following circumstances do you see as being an understandable reason to return or surrender a pet? (Check all that apply) *

Which of the following levels of basic manner training would you prefer them to have at the time of adoption? (House trained, no jumping up, no pulling on leash, no stealing of food, etc.) *

No training

Some training

A lot of training

Does not matter

Will you keep your pet's vaccinations up-to-date? *

Yes

No

Section 4: References and Comments

If you have a current veterinarian, please list his/her name and number:

Please provide the name and phone number for at least two (2) personal or professional references. *

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: (Use mouse to write, and clear to delete) *

clear

Date * +

I want a companion	I want a cat that kills pests
I want a companion for my pet.	I want an animal to breed
I want a guard dog	I want a hunting dog
Other Other

In the garage	In the yard
Loose outside	Chained/Tethered
In a crate in the house	Confined to one room of the house
Loose in the house	Other Other

In the garage	In the yard
Loose outside	Chained/tethered
In a crate in the house	Confined to one room of the house
Loose in the house	Other Other

In the garage	In the yard
Loose outside	Chained/tethered
In a crate in the house	Confined to one room of the house
Loose in the house	Other Other

The pet is aggressive	You have to move
Your family is expecting a new child	The pet is hard to potty-train
The pet is too playful	The pet has bitten
The pet does not get along with other pets	None of these
Other: Other: