Dog Adoption Application

Please read Our Expectations prior to submitting your Adoption Application.



Your Email*
Verify your email*
Animal Name (or brief description of type of animal desired if you are seeking pre-approval for adoption).*
Pet ID if located on (Type "none" if not applicable)*
Your First and Last Name*
Street Address*
County (e.g., Cumberland County, York County, Dauphin County)*
Home Phone*
Work Phone
Cell Phone


Description of Residence*
Do you live with your parents?*
Do you have a fenced in yard? Please specify type of fence.*
Do you own or rent your home?*
If you rent, please provide your landlord's NAME, ADDRESS and PHONE NUMBER
(If you own your home but rent the lot, please include the NAME, ADDRESS, and PHONE NUMBER for the lot owner.)
First Name, Last Name, Date of Birth and Age of everyone residing in household (INCLUDING YOURSELF).*


Have you ever had primary care and financial responsibility for a pet before?*
Please list all of your pets, living and deceased and breed (e.g. dog, cat, rabbit) who lived in your household within the past 5 years. If a pet is deceased please indicate "deceased" along with the approximate date of death.
Are all of your current pets spayed/neutered?
Is your dog on heartworm preventative? (If no current dogs, were previous dogs on preventative)?
What brand and variety of food do you feed your current pets (e.g., Purina Pro Plan Selects). If no current pets, what brand and variety of food do you plan to feed your new pet?
Where do you keep your current pets?
If you answered Both to the previous question, please explain.
Do you currently have or have you recently had any dogs or puppies with the Parvo or Corona Virus?
If you answered Yes to the previous question, how do you intend to keep this pet separated from the infected pet(s)?
For all current and deceased pets (within past 5 years), please provide the NAMES, ADDRESSES and PHONE NUMBERS of all Veterinarians used in this timeframe.
Have you ever surrendered or rehomed a pet for any reason?*
If you answered Yes to the previous question, please explain why and where the pet is now.
Under what circumstances would you give up a pet?*


Where do you intend to keep this pet?*
If you answered Both inside and outside, please explain.
Where will this animal sleep? (Press Ctrl and click on all that apply.)*
How long will this pet be alone each day (crated or otherwise unattended; include time before and after a break if someone comes home for lunch)?*
How do you exercise your current dog(s) each day and how do you plan to exercise your new dog each day (include approximate amount of time and distance).*
Do you have any family members with allergies or other health conditions that may impact the outcome of this adoption?*
If you answered Yes to the previous question, please explain.
Please provide the NAME, ADDRESS and PHONE NUMBER of the Veterinarian where you plan to take this pet.*
Please provide the NAME, PHONE NUMBER, EMAIL and RELATIONSHIP of 2 character references who do not live with you. (At least one must be a non-family member/significant other).*
Briefly explain why you can provide the best home for this animal.*
Adopting an animal is a big responsibility. The animal for which you are applying will be totally dependent on you for all of its needs for the rest of its life. This includes medical care and training.
On an annual basis, what do you think an animal's medical care costs?*
How would you handle a medical emergency or long term illness should your pet require extensive veterinary care or treatment?*
Are you willing to make a life-long commitment to this animal?*
Furry Friends Network requires you and your newly adopted dog attend at least one basic obedience class. Are you willing to take your adopted dog through at least one basic obedience class?*
By submitting this application, you are consenting to allow a Furry Friends Network Representative to contact your veterinarian(s) to obtain pet history and medical information.
I certify that all information in this application is true. Furthermore, I understand that if the information contained herein is found to be false, my application will be voided and any pending adoption refused.

Dog Adoption Fees: Furry Friends Network is a 501(c)(3) non-profit organization. Adoption fees cover the cost of vaccinations, spay/neuter surgery and microchipping.

$325.00 to adopt a puppy up to one year of age.
$275.00 to adopt a dog over 1 year of age to 10 years of age.
$125.00 to adopt a senior dog over age 10.
Adoption fees include PA sale tax.


Featured Pet
Contact Info

Furry Friends Network
P.O. Box 519
Boiling Springs, PA 17007

For information or questions about Cats:

For information or questions about Dogs:

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