WOOFFUN Adoption Application * This application must be completed by an adult member of the household. * Please note that we only adopt within Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, and Connecticut. * Adoption donations are as follows: all dogs up to a year, $450; 1-6 years, $400; 6+ years, $325. If you are over 60 y.o., and are interested in a dog 6 yrs or older, we have Seniors for Seniors pricing of $150. This is used to help defray the costs for vaccinations, heartworm testing, heartworm and flea/tick preventitives, spay/neuter, medical needs, and transportation. * All WOOFFUN dogs are spayed/neutered. * Our goal is to match the right dog with the right family. Please be aware there may be multiple applications for the same dog. * Please answer all questions as completely as possible. Incomplete applications will delay our processing. * A home visit and reference checks will be required. * In order to be considered for adoption of a WOOFFUN dog, all cats and dogs living in the household must be altered, up to date on routine vaccinations, and have been seen by a veterinarian within the last twelve months for an annual visit. PLEASE DO NOT HIT "RETURN/ENTER" KEY WHILE FILLING OUT THIS APPLICATION. An incomplete form will be submitted.

CONTACT & PERSONAL INFORMATION

Name

Prefix

First

Last

Suffix

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Home Phone

### - ### - ####

Cell Phone

### - ### - ####

Work Phone

### - ### - ####

Email

Age

Occupation

How did you hear about WOOFFUN?

THE NEW DOG What kind of dog are you looking for

Age Range

Sex

Female   Male   Does Not Matter

Size

Small   Medium   Large   Does Not Matter

Breed Mix

Coloring

Temperament

Other

Are you looking for a specific dog?

Yes   No

If so, which one?

What, if any, research have you done to know if this breed is appropriate to your lifestyle?

How long have you been looking for a new dog?

Are you currently being considered to adopt a pet by other rescues?

Yes   No

Why do you want a new pet?

Is this dog going to be a gift?

Yes   No

If so, for whom?

Would you consider adopting a special needs dog?

Yes   No   Maybe  e.g. daily medication, blind, deaf, etc.

YOUR HOME

How many adults live in your home, including yourself?

What are their relationships to you?

How many children live in your home?

What are their ages?

How many children regularly visit your home?

What are their ages

Who will primarily be responsible for the care of your new dog?

Is anyone in your home allergic to dogs or cats?

Yes   No

If yes to either, please describe

Does anyone in your home fear dogs?

Yes   No

If yes, please describe why and how will you deal with this situation

What have you done to prepare your home and family for a new dog?

What type of neighborhood do you live in?

Urban   Suburban   Rural   Other

If other, please specify

Which best describes your current home? (check all that apply)

House   Condo   Apartment   Mobile Home

Do you... ?

Own   Rent   Live in Parents' or other Relatives' Home

Please provide the Name and Phone Number for the Homeowner, Landlord (renters), Condo Association/Property Manager or Land Owner (mobile home).

Must be completed for application to be processed.

Are you planning a change of residence in the near future?

Yes   No

If you were forced to move, what would you do with your dog?

Do you have a yard

Yes   No

Is your yard fenced

Yes   No

If yes, type of fencing

Stockade   Plank/Picket   Post & Beam   Chain Link   Invisible/Wireless   Combination   Other

If other, please specify

Height of physical fencing, if applicable

Is there a lock on the gate?

Yes   No

Approximate size of enclosed area

Is the fence in good repair

Yes   No

If your yard is not completely fenced on all sides, how will you contain your dog while outdoors?

PET OWNERSHIP EXPERIENCE You must authorize your vet to release information regarding your pets to WOOFFUN so that we can process your application

Vet's Name

Current vet, or vet most recently used within the last ten years (if any)

Prefix

Current vet, or vet most recently used within the last ten years (if any)

First

Current vet, or vet most recently used within the last ten years (if any)

Last

Current vet, or vet most recently used within the last ten years (if any)

Suffix

Current vet, or vet most recently used within the last ten years (if any)

Clinic Name

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone Number

### - ### - ####

Additional Information

ie: additional vets, someone specifically to speak with, etc

If you have no pets, who will you use for veterinary care?

Please list all pets CURRENTLY living in your home

Name

Type/Breed

Sex

Male   Female

Age

Altered

Yes   No

Date of Last Vet Visit

Date of Adoption

Name

Type/Breed

Sex

Male   Female

Age

Altered

Yes   No

Date of Last Vet Visit

Date of Adoption

Name

Type/Breed

Sex

Male   Female

Age

Altered

Yes   No

Date of Adoption

Date of Last Vet Visit

Additional Pets

Please list all other pets you have owned IN THE PAST TEN YEARS

Name

Type/Breed

Sex

Male   Female

Altered

Yes   No

What happened to this pet?

Date

Name

Type/Breed

Sex

Male   Female

Altered

Yes   No

Dates of Ownership

What happened to this pet?

Name

Type/Breed

Sex

Yes   No

Altered

Yes   No

What happened to this pet?

Dates of Ownership

Additional Pets

DOG CARE Please consider carefully and answer ALL of the following questions about how you would care for a new dog

As a general rule, how many hours each day will your new pet be left alone?

Where will s/he be kept when you are not home?

Will your new pet be crated?

Yes   No   Maybe

How many hours total (day and night) will your pet be crated in a 24 hour period?

How long will the dog be crated continuously?

How long per day will the dog be outside?

Will the dog be outside

With Supervision   Alone   Or Both

What room will the dog sleep in?

Will the dog be crated at night?

Yes   No

What type of bed will the dog sleep on?

Will the dog ever be kept outside overnight?

Yes   No

How will you exercise your new family member in good weather?

How will you exercise your new family member in winter/bad weather?

How many times a day will you feed your new dog?

Who will care for your pet when you are on vacation?

Family   Friend   Kennel   Pet/House Sitter   Other

Please provide name and phone number

Are you familiar with the medical responsibilities that accompany a pet?

Yes   No

Please describe

Under what circumstances do you feel animals should be taken to the vet?

Who will assume the financial responsibility for your new pet?

This includes, but is not limited to, veterinary care including annual checkups and inoculations, quality food, and licensing

How will you financially cope with an unexpected veterinary emergency?

Are you familiar with the animal laws and regulations in your area?

Yes   No

Have you ever done training with your current or previous pets?

Yes   No

If so, please provide the name of the trainer/facility and when

Are you willing to take your animal to obedience or agility training classes if recommended for the new dog?

Yes   No

All new pets take time and effort to adjust to a new home and new situations. What do you consider a reasonable amount of time for your pet to adjust?

What will you do to help your new dog adjust? (In addition to love and affection)

Have you ever surrendered a pet?

Yes   No

If yes, please describe the circumstances, including any training or professional advice you received before makeing the decision to surrender

What types of circumstances (either personal or related to a dog's behavior) might cause you to surrender a pet?

What will you do if your present pet(s) doesn't get along with your new dog?

PERSONAL REFERENCES Please provide two personal references (friends, neighbors, co-workers, etc. NOT FAMILY MEMBERS)

PERSONAL REFERENCES Please provide two personal references (friends, neighbors, co-workers, etc. - NOT FAMILY MEMBERS)

Reference Name

Prefix

First

Last

Suffix

Relationship to you

*Family are NOT eligible as references.*

Phone Number

### - ### - ####

Reference Name

Prefix

First

Last

Suffix

Relationship to you

*Family are NOT eligible as references.*

Phone Number

### - ### - ####

ADDITIONAL INFORMATION

Please take this opportunity to provide any additional information that you would like WOOFFUN to consider in processing your application

SIGNATURE

I attest that the information above is true and correct. I understand that falsification of any of the above information is grounds to disallow the adoption of a rescued dog.   I attest that I am financially and physically able to care for a dog.   I understand that my landlord, veterinarian, and personal references (as applicable) will be contacted to verify the relevant information above.   I agree to allow a home visit from WOOFFUN (all home visits require all family members present and are by appointment only).   I understand that I may not transfer ownership of any animal adopted from WOOFFUN to another party. If for any reason I cannot keep this pet, I must contact WOOFFUN before transferring this dog to anyone.

Initials

Date

MM / DD / YYYY

*** I would like to be considered for volunteering for WOOFFUN in the following capacity

Fostering   Conducting Home Visits   Processing Applications   Follow Up Phone Calls   Assisting With Transportation   Assisting With Processing New Furkid Arrivals   Other

If other, please describe

Please be patient while your application loads. When it is finished, you will be brought back to our WOOFFUN site. Thank you for wanting to adopt a rescue dog!