Young, Female, Medium About Health Vaccinations up to date.
Do you have any experience with rescue dogs, foster/volunteering, etc.? YesNo
Applicant’s Full Name:
Applicant’s Address:
Apt. #:
City:
State:
Zip:
Email address:
Phone Number:
What type of home do you live in? Single familyMulti-familyTownhouseCondoApt
How long have you lived at this address?
Do you own or rent? OwnRent
If you rent, does your landlord allow pets? YesNo
Do you have any other pets in your household? YesNo
If yes, please provide details of each pet, age, gender, dog/cat friendly, etc.:
What size/age dog are you looking to foster? SmallMediumLargeNo preference
What age: Puppy6 mo. – 2 yrs.2 -5 yrs5+Seniors only
What energy level? LowMediumHighNo preference
What gender? MaleFemaleNo preference
Do you have any breed restrictions? Please explain:
Including yourself, how many people live in your household? Please list ages/relations of all those who live in your home:
How often will the dog be in contact with children?
Is everyone in your household on board with fostering a rescue dog?
Does anyone in your home have allergies to dogs or cats?
Where will the dog be kept when household members are home?
Where will the dog be kept when household members are NOT home (be specific)?
On average, how many hours per day will your pet be left alone?
Describe type and frequency on how you plan to exercise your dog:
Will you be able to provide basic obedience training? For example, house, leash, and crate training, also sit, down, come, etc.?
Have you ever sold, given up, or rehomed a dog?
What circumstances would be cause for you to return a foster dog?
Application signature:
Date:
beaconoflightanimalrescue@gmail.com Thank you for your interest in opening up your heart and home to a rescue dog PO BOX 1062 New Hartford CT 06057 beaconoflightanimalrescue@gmail.com
Name of dog you are interested in:
Your full name:
Cell Phone Number:
Your email address:
Names, genders and ages of all residents of your home and their relationship to you:
Does anyone in your household have any known allergies to any kind of animals? YesNo
Your address:
How long at current address:
House/Apartment/Condo? HouseApartmentCondo
Rent/Own? RentOwn
If you rent/lease, what is your landlord’s name and phone number?
Are pets allowed per your lease/rental agreement? YesNo
Employer’s Name:
How long at your current job?
Please provide 2 references (not immediate family) with email, phone number, address and relationship to you:
Please list all current pets in your home. Are all pets spayed or neutered and on flea/tick, heartworm prevention and up to date on vaccines including rabies?
What characteristics are you looking for? Please include age, size, gender, etc. and why you would like to adopt a rescue dog. Please be specific so that we can find a perfect match for you:
Who will primarily care for this dog (feeding, playtime, walks, training, vet visits)?
Have you ever surrendered or given away any pet? If yes, please explain the circumstances:
Please provide the name, address, and phone number of your current veterinarian. We may contact your vet, please let them know in advance. If you do not have a current veterinarian, who do you plan to use?
Do you have a fenced in yard? YesNo
If yes, please describe the fenced in area:
Rescue dogs may take 3 weeks or more to adjust to a new home. Where do you plan to keep this dog and how long will the dog be left alone during the day? Will you be using a crate? Will you provide basic obedience training or any training if needed by a professional trainer? Be specific:
If for ANY reason you can’t keep this dog, he or she must be surrendered back to Beacon of Light Animal Rescue, Inc. There will be no refund of the adoption fee after 30 days from date of adoption.
I certify that all information is true and accurate and I understand that any falsification may result in nullification of an adoption. Please sign and date this application and return to: megan.keefe@bolarct.org
Signature:
