EmailMe Form - Copy of CFPU Adoption Application

Copy of CFPU Adoption Application

Thank you for your interest in the CFPU Adoption Program. Completion of this application does not guarantee adoption of a CFPU dog. Our NON-NEGOTIABLE adoption donation ranges from $155 - $175, which includes full vaccinations, microchip and spay/neuter.

Please be sure that you are contacting the correct organization, there are many out there with similar names. We are Cause for Paws Utah (CFPU Rescue Army). A complete list of our adoptable dogs can be found on our Petfinder page - http://www.petfinder.com/shelters/UT174.html

Date Time *
MM / DD / YYYY
Name/Breed of dog that you are interested in adopting *
Name of Applicant *
First Last
Occupation *
Are you over 21 years of age? *
Yes
No
Name of Spouse/Significant Other
First Last
Occupation
Email *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone *
### - ### - ####
Do you have children at home? *
Yes
No
List the ages of children at home
Do you live in a *
House
Townhouse
Condo
Apartment
Other
Do you own or rent? *
Own
Rent
If you rent; do you have your landlord's permission to have a dog and are you able to provide proof on official letterhead? *
Yes
No
Do you have a fenced yard? *
Yes
No
Other
If you answered no, please explain
CFPU requires home checks on certain breeds. Would you allow CFPU to do so? *
Yes
No
Please explain the height and material that your fence is made of *
Is your fence usually locked? *
Yes
No
Do you have a swimming pool? *
Yes
No
Do you currently own a dog? *
Yes
No
List age, sex, breed of current dogs
Do you currently own a cat or other animals? *
Yes
No
Are your current animals spayed/neutered and vaccinated? *
Yes
No
If you answered no, please explain why

Evaluate the following statements. *

	Strongly Disagree	Disagree	Agree	Strongly Agree
It is important to spay/neuter my pets	1	2	3	4
It is important to microchip my pet	1	2	3	4
It is important for my pet to wear a collar with ID tags at all times	1	2	3	4
It is important to fully vaccinate my pet	1	2	3	4

Please listed the dogs that you have owned in your life including - Breed, Sterilized? How long did you own the animal? What happened?
Have you ever had to re-home a dog? If so, why and when? *
Do you currently have a veterinarian? *
Yes
No
If you answered yes, please provide the name/address/phone number of your veterinarian
May CFPU have your permission to contact him/her for reference?
Yes
No
Why are you interested in adopting a dog? *
How much of the time will the dog be indoors? *
How much of the time will the dog be outdoors? *
What percentage of the time will the dog be left alone? *
Where will the dog be kept when alone? *
What areas of the house will the dog NOT be allowed? *
Where will the dog sleep? *
Will a family member be home during the day to care for the dog? *
Yes
No
When will you feed the dog? *
What brand of food? *
Who will be the primary caretaker of the dog? *
What circumstances, if any, would force you to give up your dog? *
Have you ever trained a dog in a formal obedience class? *
Yes
No
Do you think it's necessary for your dog to wear an ID tag or collar? *
Yes
No
Does anyone in your household have allergies to dogs? *
Yes
No
If you answered yes, please explain
Certain breeds require more work than others, how do you plan on exercising your dog outside of the home? Ie walks, dog park, hiking, etc. *
Are you able to make a long term commitment to care for your new dog for his or hers entire life span, which could be as much as 10-20 years? *
Yes
No
Please note anything else that you would like CFPU to know considering you as an applicant for adoption
How did you hear about CFPU? *
Facebook
Website
Petfinder
Other Animal Database
Friend/Family Member
I have read and understand all the questions on this form. I have answered all questions truthfully ad understand if we do adopt a dog from CFPU, this application becomes a part of our adoption contract. I also understand that if at some point I am no longer able to care for this animal, I am required to return it to CFPU and cannot attempt to rehome it myself *
Agree