Animal Rescue Friend Network – Brooksville, FL

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Adoption Application

Home → Adoption Application

What are you applying for?

Position *
AdopterVolunteer

About Your New Friend

Animal Name
Describe the attributes of the dog/cat you want: *
Gender *
MaleFemale
Color Markings *
Age

About You

Full Legal Name *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Primary contact phone number *
Occupation *
Email *

About Your New Friend's Home

Has your spouse, roommate or partner agreed to adopt a dog/cat? *
YesNo
Is anyone in your household allergic to pets? *
YesNo
Full Legal Name(s) of All Adults Over 18 Living in Household
Please list the ages of all children living in your house
Why do you want to bring this dog/cat into your household? *
Why did you decide this dog/cat would be the right breed for you? *
How did you educate yourself about the breed? *
Have you ever been issued a citation or warning for, or arrested, charged or convicted of animal abuse or neglect? *
YesNo
Have you ever been convicted of a crime? *
YesNo
What is your housing situation (house, apt, condo)? *
Are you in military housing? *
YesNo
Do you own or rent? *
OwnRent
If you rent, you must supply your landlord's contact info below or your application will not be processed
If there is a Homeowner’s Association where you live, list the name, address and phone number of the property manager or homeowner association officer. If no Homeowner Association, state “none”
Do you own a swimming pool? *
YesNo
Is the swimming pool fenced?
YesNo
Is your yard fenced in?
YesNo
How high is the fence at the lowest point?

Current & Past Pets

List all other animals in your household or on your property (we must have name, age, type)
Other than the pets listed above, have you had dogs/cats in the past? *
YesNo
If yes, what happened to them?

Veterinarian's Information

Veterinarian's Name *
Veterinarian's phone number *

Additional Information

Where will your dog stay when you are at work or away from home? *
How many hours a day will your dog be left alone? *
Where will the dog/cat sleep? *
Who will be primarily responsible for the dog/cat? *
What will happen to the dog/cat if you move? *
Might you move into a new setting that does not allow the dog/cat? *
YesNo
If yes above, please explain.
Under what circumstances would you not keep a dog/cat? *
Are you willing to go through obedience training with your dog (N/A for cats)? *
YesNo
What is your philosophy regarding discipline of your dog/cat? *
What discipline would you use for potty accidents in your home? *
Will you take responsibility for the dog’s/cat’s entire life (upwards of 10-12 years)? *
YesNo
What arrangements have you made for your pet in the event of an emergency or your death? *
Please estimate how much you expect to pay per year on the animal’s medical care *
Please estimate how much you expect to spend on FOOD and other NON-MEDICAL EXPENSES per year *
List the health concerns you are aware of in this breed *
Are you willing to pay for all medications, including heartworm preventative, your dog/cat may need? *
YesNo
May a Rescue representative come to your home and visit with you? *
YesNo
How did you hear about this dog/cat? *
Have you applied to or are you working with any other animal rescue or adoption organization? *
YesNo
Please type your full name below to digitally sign agreeing that you will return the dog / cat to ARF'N if you decide you cannot keep him or her *
Email

Verification

Please enter any two digits with no spaces (Example: 12) *
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Home Page
About Us
- ARF’N Adoption Process
Adopt A Friend
Foster A Friend
- Foster Application
Spay / Neuter Clinic Locator
Events
- Event Photos
Friends of Friends
Donate
Contact Us
- Owner Release Form
Golf Tournament 2018

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