Young, Female, Large About Health Vaccinations up to date, spayed / neutered.
Chouse
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 feline(s) you are interested in:
If unavailable, what other feline(s) would you be interested in?
Name of applicant:
Street address:
City/State/Zip:
Phone #:
E-mail:
If less than 3 years, please provide previous address:
Do you own this residence or rent? OwnRent
If you rent, please provide your landlord’s name and phone number:
Are you adopting for yourself or someone else? SelfSomeone else
If for someone else, please provide their name and address:
Who resides in this household? If under the age of 18, please provide their ages:
Does anyone in the home have any known allergies to animals? YesNo
If yes, how are they controlled?
Do you currently own any animals? YesNo
If yes, please provide their names, ages, and what type of animal:
Have they been spayed or neutered? Are they current on vaccinations? Have they been tested for feline leukemia? Have they been tested for FIV? Are they declawed?
Will this/these feline(s) be declawed? If so, please provide the age this will this be done?
Have you or your family members owned animals in the past? If so, what happened with them?
Are all members in your household in agreement to adopting a rescued animal(s)? YesNo
Will this/these feline(s) be indoor or indoor/outdoor? IndoorIndoor/Outdoor
Will you allow the feline(s) time to adjust to his/her new environment before introducing them to the outdoors?
What do you plan to do with your pet when you go on vacation?
What will you do with your pet if you can no longer keep him/her/them?
Name of veterinarian:
Past Veterinarian Information: Name:
Are you over the age of 18? YesNo
Submission of this application does not guarantee the adoption of an animal(s). Applications usually take 3-5 days to process. Please understand that we are all volunteers and life can get in the way, so please be patient with us. Thank you.
