Adoption Request FormStep 1 of 616%Thanks for your interest in adoption! Be informed that completing an application does not guarantee an adoption., and potential adoptors agree to a home check before and/or after adoption.Personal CommitmentAre you capable and willing to make a LIFETIME commitment to the care of this pet?*This can be a 15-20+ year commitment.YesNoIf you are not willing to make a lifetime commitment to the care of animal, please inquire about our foster program.Name of the pet you are interested in adopting:*Personal InformationName* First Last Home PhoneWork PhoneCell PhoneMay We Text You?YesNoEmail* Date of Birth* Date Format: MM slash DD slash YYYY Address* Street Address Apartment # City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer* Save and Continue LaterHousehold InformationType of Dwelling. Check all that apply.* Rent Own House Apartment OtherPlease provide name/contact information for your landlord:*Does your lease allow pets? Yes NoIs your household...* Very active Average Couch potatoesInside Accomodations (Check all that apply)* Free roam of house Crated Pet door to go outside Will not be indoors Will not be outdoors Contained in one areaFor single area containment, please describe in detail:*Night-time Accomodations (Check all that apply)* Inside, free roam of house Inside, crated Outside, free roam of yard Outside, tethered/chained Garage OtherIf chose other, please describe in detail:*Size of Yard* No Yard/Unfenced Property Patio/Balcony Only Small Average Large AcreageIs your yard fenced?* Yes NoWhat type of fence and how tall?*(Example: wood, chainlink, brick, wrought iron, etc.)Will pet have access to a swimming pool?* Yes NoDo you have a pet door?* Yes No Save and Continue LaterHousehold MembersAdults (Other than yourself)*Please give name and age of each adult that lives in your household. (Enter "none" if not applicable.)Children in your household:*Please give the name and age of each child that lives in your household. (Enter "none" if not applicable.)Does anyone in your household have pet allergies?* Yes NoHas anyone in your household been convicted of a child or animal welfare law violation, including but not limited to neglect, cruelty, or abandonment?* Yes No Save and Continue LaterReferencesReference #1Name* First Last Your relationship to reference*Phone*Reference #2Name* First Last Your Relationship to Reference*Phone*Reference #3Name* First Last Your Relationship to Reference*Phone*Current Veterinarian (If Applicable)Vet NameVet PhoneHospital Save and Continue LaterPast & Present Furry Household MembersList out your animals. You may add up to 10 pets by clicking on the plus sign to the right of the column. Answer Y/N for columns with a question:*NameSpecies/BreedGenderAgeAltered?Declawed?Vac Record?Is this pet indoor only, outdoor only, or both?Where is pet now? Save and Continue LaterLife with your New Furry FriendBriefly describe your experience with this type/breed of pet (if any):*On average, how long will the pet be alone daily?*Under what circumstances will you have this pet declawed?*Do you plan on cropping ears or docking tail? If so, Why?*How much time are you willing to spend helping this pet adjust into your home and lifestyle? What do you see as normal transitional behaviors after adopting a pet?*What would you do if the pet is destructive (noisy, house soiling, shedding, scratching, jumping, chewing, drooling, etc)?*What would you do if your pet stopped using the litter box (cats, rabbits, etc), started pottying inside (dogs, etc), started marking in the house, etc?*What do you consider aggressive behavior? How would you correct this (ignore, professional training, rehome, etc)?What do you believe the average cost of vet care is for a pet?*Have you ever been forced to give up a pet in the past? If so, what were the circumstances?*Have you ever had a pet put to sleep for any reason other than incurable illness? If so, what were the circumstances?*Under what circumstances would you not keep this pet? Check all that apply. Move locally Move out of state Move out of country Marriage/new relationship Divorce/Break up Pregnancy New Job Retirement OtherIf you became homeless, ill, disabled, or passed away, who outside of your household would assume responsibility of this pet?Name* First Last Phone*Certify True and Complete Information*I certify that the information given on this application is true and complete. I also understand that falsified information or significant omissions may result in my disqualification from this and future adoptions from the Pet Rescue Thrift Store Foster Army Animal Rescue. I hereby agree to hold the Pet Rescue Thrift Store, Foster Army Animal Rescue, their trustees, executive director, board of directors, employees, agents, volunteers, and assigns harmless from any and all liability on account of any personal injury or illness that I, my family members, or my pets may sustain, or damage to my property while interacting with an animal or animals. I agree to abide by all rules and regulations set forth by Foster Army Animal Rescue, written, spoken, and implied. I understand that this adoption may be denied for any reason deemed fit by Foster Army Animal Rescue. I understand that there are no refunds on adoption fees. I understand that there may be a home check prior to adoption, and welfare check(s) after adoption. Click here to agree.Date Date Format: MM slash DD slash YYYY Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.