COMPANION ANIMAL FOSTER TO ADOPT APPLICATION

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1 COMPANION ANIMAL FOSTER TO ADOPT APPLICATION Date: APPLYING FOR Name of Animal: Species: Description: Age: Special Needs: _ APPLICANT'S INFORMATION Full Address: City: State and Zip Code: Address: Age: Place of Employment: Address of Place of Employment: How Long in Present Job: Supervisor's Name and Extension: Spouse/Roommate Place of Employment: How Long in Present Job: Supervisor's Name and Extension: Reunion Rescue Adoption Application v1.0 1

2 HOUSEHOLD INFORMATION Where Do You Live? House Condo/Apt. Mobile Home Student Housing Military Housing Neighborhood : Urban / Suburban / Rural How long at your present address? Do You Own Your Own Home? (If yes, please provide proof of ownership.) Do you rent? If yes, landlord's Name Landlord's Are you planning to move within the next year? If yes, what are your plans for your companion animal when you move? If you decide to move in the future, what will you do with your companion animal? What provisions have you made for your companion animal in the event of your illness or death? How many adults in your home? Are there children in your home? If yes, how many and what are their ages? Are all members of your household aware of your plans to adopt an animal? Are any members of your household allergic to animals? Where will animal be during the day hours while at work? Where will your companion animal sleep? How many hours will your companion animal be alone? Who will be responsible for the animal? Reunion Rescue Adoption Application v1.0 2

3 Does anyone in your household smoke? If yes, where? Do you have any health conditions which could restrict your ability to care for an animal? If yes, please describe: VACATION How often do you go on vacation? Who will care for your companion animal when you go on vacation? OTHER ANIMALS Do you have cats? If yes, how many? Do the cats live strictly indoors? Are the cats declawed? Do you have dogs? If yes, how many? Do dogs live indoors? Other animals? If yes: How many? Describe living conditions of other animals: Are all animals in your household spayed/neutered? Where will pet be contained? During the day? At night? Name of Veterinarian: Reunion Rescue Adoption Application v1.0 3

4 Address: If no companion animals at this time, have you had any in the past 8 years? If yes, what happened to them? REFERENCES:Please list people other than family who you have known for at least 5 years. QUESTIONS: (Use back of application to answer) Why do you want to adopt an animal? What type of personality are you looking for? (If applicable) Have you ever had a special needs animal before? If yes, describe: Reunion Rescue Adoption Application v1.0 4

5 If necessary, how will you discipline the animal? What kind of dog training do you use? We agree to enter the Reunion Rescue/Animals First foster to adopt program. During the foster to adopt program, we will spay/neuter the pet should the animal be unaltered. We agree to complete basic obediance classes. We agree to try the raw diet and treat homeopathically. Should any medical issues arise, we will notify Reunion Rescue/Animals First Rescue before taking the animal to any clinic or hospital. While in our care, the dog will be supervised at all times and crated while not supervised. We will always leash the pet when in public. We will never leave the dog unattended in the backyard or any common area. We realize we are entering a foster to adopt program and will maintain updates with Reunion Rescue/Animals First Rescue regarding our foster dog's progress. We agree to all requirements stipulated in this application and will be available for periodic check-ins during the foster period. I hereby certify that all information supplied by me on this application is true. Signature: Date: Reunion Rescue Adoption Application v1.0 5

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