EmailMeForm
FOSTER - FOSTER.2.ADOPT QUESTIONNAIRE
By filling out this application I understand and agree that all information provided is correct and true to the best of my knowledge and I have not withheld any pertinent information. I also understand and agree that any misrepresentations of me or my family or any untruths of the information I have provided herein that are discovered may result in the immediate denial of my application and I may not be allowed to foster or adopt a dog from All Star Fur Pet Rescue. Submittal of this form provides my agreement to this adoption application.
** PLEASE NOTE **
Please keep in mind, we do not ask for any more private information than your local shelter would. Your private information will never be shared with anyone.
Failure to fill out this application in its entirety, in all applicable fields, may result in your application being disregarded entirely. If question is Not Applicable, please write N/A
Name
*
First
Last
Date of Birth
*
Name of dog you're interested in fostering or foster2adopt?
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
State ID/Driver's License #
*
Phone
*
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Secondary Contact Number
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Email
*
What is your occupation?
*
How many hours a week do you work?
*
Do you live in...
*
House
Apartment
Condo
Boat
Mobile Park
Other
How long have you lived at your current address?
*
Do you own, rent or lease?
*
Own
Rent
Lease
As a Renter, do you have the Landlord's permission to have a dog? At time of adoption, please provide proof of your lease/rental agreement.
Yes
No
Please explain any restrictions (breeds, weight, etc) AND please provide Property Management Name and Telephone Number:
Do you have plans to move?
*
Yes
No
N/A
If yes, when and where? Please explain.
Do other adults live in the home? If yes, please list ages of each adult household member.
*
Does anyone in the household smoke?
*
Yes
No
Do children live at or visit the home? If so, please provide their ages.
*
Are the children experienced and respectful around dogs?
*
Yes
No
N/A
Is anyone in the home allergic to pets?
*
Yes
No
Is anyone in the home afraid of dogs?
*
Yes
No
Do you have a yard? If so, who has access to your yard?
*
Gardener
Pool Maintenance
Shared Yard
Other
Does anyone come to your property while you are not there? (ie housekeeper, maintenance, repair) Please explain.
*
Where will your dog be during those times? (Please be specific)
*
Do you have fencing? If yes, please specify height and type of fencing.
*
How tall is your fence at its lowest point?
*
Do you have a locked gate or is it clipped shut through the latch? How tall is your gate?
*
Do you have a swimming pool?
*
Yes
No
If yes, is your pool area fenced?
Have you ever had a dog before?
*
Yes
No
If Yes, for how long? If you no longer have it, what happened to him/her?
Do you have a dog(s) now?
*
Yes
No
If yes, please provide Breed, Gender and Age of each. If possible, will you send us a photo of your furpet?
Do you have any other pets?
*
Yes
No
If so, what kind?
Are your pets spayed or neutered?
*
Yes
No
Have you ever lost a dog?
*
Yes
No
Please explain
If your dog is LOST, which of the following will you do? (check all that apply)
*
Check Shelters
Put up Flyers
Put ads in newspaper/media sites
Take Flyers door to door
Wait because he/she will come back
Do you think its necessary for your dog to wear an ID tag?
*
Yes
No
Not sure
Have you ever relinquished a pet to a shelter or rescue?
*
Yes
No
Have you ever had an animal confiscated from you?
*
Yes
No
Have you ever had to euthanize a pet? If so, please explain.
*
Do you have any livestock?
*
Yes
No
Do you anticipate any problems with current pets and a new dog? Should any arise, how would you deal with those problems?
*
Will your dog be Indoor only, Outdoor only, or Both?
*
Outdoor only
Indoor only
Both
What Percentage % of Time
will the dog be Outside % - Inside % ?
*
Do you have a dog door?
*
Yes
No
Thinking about getting one
Which rooms in your home are off limits to your dog?
*
Is your dog allowed on the furniture?
*
Yes
No
Is anyone home during the day?
*
Yes
No
When you are not at home, where will your dog be?
*
How many hours will the dog be alone on average?
*
Where in your home will your dog sleep? (Please be specific)
*
What brand of dry dog food will you be feeding your dog? How often?
*
What brand of dog treats, if any, will you feed your dog? How often?
*
Have you considered feeding a fresh whole food diet? What would you choose?
*
Raw food
Dehydrated/Freeze Dried
Homemade recipe
Not my choice
When you go on vacation, who will care for your dog?
*
House/Pet Sitter
Vet/Boarding Kennel
Friend/Relative
Neighbor
In the past, have you ever been forced to give up your dog?
*
Yes
No
If yes to the above, what did you do?
*
Gave to a Friend/Relative
Took to a shelter
Gave to adoption group
Found dog new home via newspaper/media
Other
What will you do if you can no longer keep your pet?
*
Which of the following will you use for flea control? (Check all that apply)
*
Flea sprays
Flea baths
Flea collars
Advantage/Frontline
Herbal Natural program
Flea Busters
Vet recommendation
Open to suggestions
Other
What will you do if your dog gets sick? Do you have a First Aid Kit readily available?
*
Rescuer must be immediately notified by Foster.
Do you know how much vet care costs?
*
Rescuer has contracted Vets in SoCal area.
Are you prepared to spend the money, if needed, for your adopted pet?
*
Yes
No
Do you have a limit? If YES, please explain.
*
To protect your adopted pet, would you want to subscribe to a Pet Insurance plan?
*
Yes
No
If you have a Current Veterinarian, what is the Name & Telephone Number:
*
How will you get your dog to do what you want it to do?
*
Have you ever trained a dog in professional obedience class
*
Yes
No
Do you still use the same training methods?
Yes
No
What will you do if your dog chews/destroys a non-dog item?
*
Under what circumstances will you give up your dog? (Check all that apply)
*
Allergies
Excessive Barking/Whining
Digs in the yard
Too expensive
Bladder control loss
Bites/Nips
Chronic Illness
Did not turn out how I thought it would
N/A
If a dog were to do one of the above behavior issues (ie nipping, biting, barking, digging, etc) are you willing to consult a professional trainer to try and rectify the situation before giving up on the dog?
*
Yes
No
How do you plan on exercising your dog and how often?
*
In case you are unable to exercise your dog for a period of time, how would you handle it?
Get an experienced dog walker
Dog has a backyard
Dog will wait till I can
A pet requires a lot of human attention. Are you prepared, committed and patient enough to spend a lot of time with your adopted pet for the rest of its life? (15+ years)
*
Yes
No
Do you understand a dog needs time to adjust and decompress at their new home?
*
Yes
Not sure
Apply the rule of "3-3-3"
Are you willing to update the rescue if contact information/address changes so their records can be updated?
*
Yes
No
Please answer each of the following:
A) What are you looking for in the dog you're interested in adopting?
B) How much do you know about the breed(s) of the dog(s) you're interested in?
*
Please feel free to add any other information you think would be useful for us to know or are there any concerns you would like to discuss?
*
Do you consent to a home visit by ASFP personnel upon request?
*
Yes
No
