Animal Rescue Friend Network – Brooksville, FL
Contact Email: Info@ARFN.org
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Adoption Application
What are you applying for?
Position
*
Adopter
Volunteer
About Your New Friend
Animal Name
Describe the attributes of the dog/cat you want:
*
Gender
*
Male
Female
Color Markings
*
Age
About You
Full Legal Name
*
Address
*
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Country
Afghanistan
Albania
Algeria
Andorra
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Gambia, The
Georgia
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India
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Iran
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Jordan
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Korea, South
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Nigeria
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Samoa
San Marino
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Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Primary contact phone number
*
Occupation
*
Email
*
About Your New Friend's Home
Has your spouse, roommate or partner agreed to adopt a dog/cat?
*
Yes
No
Is anyone in your household allergic to pets?
*
Yes
No
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?
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Yes
No
Have you ever been convicted of a crime?
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Yes
No
What is your housing situation (house, apt, condo)?
*
Are you in military housing?
*
Yes
No
Do you own or rent?
*
Own
Rent
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?
*
Yes
No
Is the swimming pool fenced?
Yes
No
Is your yard fenced in?
Yes
No
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?
*
Yes
No
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?
*
Yes
No
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)?
*
Yes
No
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)?
*
Yes
No
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?
*
Yes
No
May a Rescue representative come to your home and visit with you?
*
Yes
No
How did you hear about this dog/cat?
*
Have you applied to or are you working with any other animal rescue or adoption organization?
*
Yes
No
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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Menu
Home Page
About Us
ARF’N Adoption Process
Adopt A Friend
Feline Friends looking for Homes
Friends Looking for Homes
Adoption Application
Training Materials
Clicker Instructions
Coming When Called
Defensive Behavior
Dog Signs of Stress
Reactive Dog
Possession Aggression
Happy Tails
Foster A Friend
Foster Application
Spay / Neuter Clinic Locator
Events
Event Photos
Friends of Friends
Donate
Contact Us
Owner Release Form