Adoption Application

This form is to give us an idea about how the animal will fit your home, lifestyle, and expectations. Please
answer all questions with as much detail as possible. Your information is treated as confidential and is not
used for any other purpose.

· Filling out this application does not guarantee that the dog you choose will be available.
· Completion of this application does not guarantee adoption of a Fuzz Ball Animal Rescue animal.
· We carefully review each application and place all animals based on a variety of criteria. Ultimately, we will
always act in the best interest of the animal.
We will contact your vet and Fuzzball Animal Rescue also conducts home-checks to assure the best possible
placement of all our rescue animals.

PLEASE NOTE: It is our policy to only adopt to homes where the current pets:
1. Are up to date on vaccinations
2. Have been either spayed or neutered
3. Have received routine veterinary care.

Applications that do not meet this policy shall be denied.

Please Note: Our utmost goal is to place all Fuzz Ball Rescue animals in loving forever homes, therefore we
reserve the right to deny an application if for any reason we believe the applicant’s home is not the right fit
for that particular animal.

* Indicates required field

Step 1 - Applicant Information

Step 2 - Housing

Step 3 - Pet Care and Environment

Step 4 - Vet Care and Other Details

Today's Date *

Which pet are you interested in adopting and how did you hear about them? *

First Name *

Last Name *

Age *

Occupation

Address - Line 1 *

Address - Line 2

City *

State *

Zip Code *

Country *

Home Phone

Cell Phone *

Work Phone

Spouse's Phone

Best time to call? *

Email *

Previous Step

Do you own or rent? *

Rent

Own

If you rent, please provide your landlords name and phone number so we can confirm you have permission to have a pet.

Do you have a yard? *

Is your yard completely fenced? *

What other animals are in the household? Dogs, Cats, small animals, livestock, horses? *

Previous Step

What appeals to you about the pet you want to adopt? *

What kind of energy level do you want of this pet? *

If other, please explain.

How sociable do you want this pet to be? *

If other, please explain.

Please list ALL other people living in your household including children. Please list their Age(s) and Relationship(s) to you *

Are all the people living in your household in favor of adopting a rescue animal? *

Is anyone allergic or suffer from any chronic condition or disability that could affect their ability to live with a new pet? Is anyone afraid of or unaccustomed to animals? *

Who will be the pet's primary caregiver? *

About how many hours a day will the pet be alone while you are at work, and where will they stay during that time? *

Will the pet be an indoor only pet? Indoor/Outdoor? Outdoor only? *

Where will your pet sleep? *

Have you thought about where you and your new pet will be in ten years? *

If you were no longer able to care for your pet is there someone else who will? *

What steps have you done to prepare for a new pet? *

Please list previous pets, how long you had them, and why you no longer have them. *

Previous Step

Have you considered all the costs of owning a pet? (Regular vet check-ups, dental cleaning, vaccinations, emergency care, liability insurance, rental deposits, training, food, etc.) *

How much do you think it costs to care for a pet annually? *

If your new pet becomes sick or injured, are you able to pay for emergency veterinary care? *

How much do you think an emergency veterinary visit may cost? *

Please list details about the veterinary you plan to use. If you have recently changed vets, please also provide information about the vet you used previously. Provide vet name, address, and phone number *

Have you submitted an application with us or another organization for a pet at this time? *

Have you submitted an application in the past with Fuzz Ball Rescue and were you accepted or declined? *

Please list or explain any other details you feel we should know in making our decision in approving this adoption. *

Electronic Signature: Please type name below to state that the information you have provided above is true to the best of your knowledge *

Date *

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