*questions are required
 
Name *
Address *
City *
State *
Zip Code *
Phone *
Email *
Current Veterinarian *
Veterinarian Address *
Veterinarian Phone Number *
Current or Previous Pets
Type/Breed
Pet's Name
Age
Fixed?
Gender
Still Have?
If no, what happened to this animal?
Type/Breed
Pet's Name
Age
Fixed?
Gender
Still Have?
If no, what happened to this animal?
Type/Breed
Pet's Name
Age
Fixed?
Gender
Still Have?
If no, what happened to this animal?
Name of the animal you are interested in adopting *
Household Information
Do you own or rent your home? *
Length of time at this address *
Landlord's Name and Phone Number (if applicable)
If you move in the future, what will happen with your dog/cat *
Number of adults in your household *
Number and ages of children in household *
Is everyone living in your household in agreement with adopting this pet? *
Does anyone living in your home have any allergies to animals or animal dander of any kind? *
Who will be responsible for your companion animal (feeding, walking, cleaning up, etc.)? *
Do you have a fenced in yard? If no, where will your dog relieve him/herself? *
Are you able to provide care for your companion animal when you are away from home? If yes, how? *
Dogs/cats can live up to 15 years, and become ill or injured. Are you prepared to take responsibility for your companion animal for his/her entire lifetime, including financially? *
It may take your dog/cat up to 6 months to adjust to a new home, are you willing to allow this much time for adjustment? *
Are you willing to provide professional dog training if needed? *
How many hours a day will your companion animal be left alone? *
Will s/he be crated during this time? *
Are you willing to pay for a dog walker if necessary? *
If your adopted animal is less than 6 months old how will you handle housetraining (if needed)? *
If your adopted animal is less than 6 months old and has not been neutered what are your feelings on neutering your animal? *
How will you exercise your dog and how often?
Have you, or any member of your household ever violated any local state or federal law or regulations involving the inhumane treatment of animals? *

Please read the following disclaimer before submitting your application.
 
First Name *
Last Name *
Date *

Because of the nature of our work and the extreme circumstances many of our animals find themselves in we take every precaution to ensure our animals are in a home where they will thrive and be well cared for. Animal Rescue Front reserves the right to deny any adoption we deem unsuitable. By signing this application you are also agreeing that should there be any reason you would have to surrender your animal you are obligated to surrender the animal to Animal Rescue Front, Inc. or one of our representatives. Please sign in the following box. Thank you!

Please Initial Here *

If your animal is younger than 6 months of age and has not been altered it is a mandatory requirement of your adoption through Animal Rescue Front, Inc. that you do so. At any time we may request proof of this surgery and we reserve the right to take the animal back if you refuse to comply. By checking this box you are unequivocally committing to spay/neuter your pet prior to or right at 6 months.

Please Initial Here *


I certify that all statements made by me on this adoption application are true and correct. I acknowledge falsification of any information on this application can result in my being denied adoption of an animal or confiscation of an adopted animal. By signing this document I am also agreeing to return the animal to Animal Rescue Front should I deem this adoption unsuitable for the animal or if my ability to adhere to the requirements herein change. I recognize that all adoption fees are non-refundable once the animal has been formally adopted. By checking this box you certify that all statements are true and correct.

Please Initial Here *