| Your Email* |
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| Verify your email* |
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| Animal Name (or brief description of type of animal desired if you are seeking pre-approval)* |
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| Animal ID # if located on petfinder.org. (Type "none" if not applicable)* |
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| Your Name* |
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| Street Address* |
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| City* |
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| State* |
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| ZIP* |
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| Township/Borough* |
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| Home Phone* |
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| Work Phone |
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| Cell Phone |
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YOUR HOME |
| Description of Residence* |
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| Do you live with your parents?* |
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| Do you have a fenced in yard? Please specify type of fence.* |
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| Do you own or rent your home?* |
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Landlord's NAME, ADDRESS & PHONE (If you own your home but rent the lot, please include the NAME, ADDRESS, and PHONE for the lot owner.) |
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| Names & ages of everyone residing in household (INCLUDING YOURSELF)* |
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CURRENT AND PAST PETS |
| Have you ever owned a pet before? (If NO, you can skip to the next section.)* |
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| Please list all of your pets (living & deceased) within the past 5 years. If a pet is deceased please indicate "deceased" next to its name along with the approximate date of death. |
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| Are your current pets spayed/neutered? |
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| Is your dog on heartworm preventative? (if no current dogs, note if previous dogs were on preventative) |
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| What brand of food do you feed your current pets? (example: Purina Pro Plan) (if no current animals, what brand and variety of food have you fed in the past?) |
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| Where do you keep your current pets? |
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| If you answered Both to the previous question, please explain. |
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| Do you currently have or have you recently had any dogs or puppies with the Parvo or Corona Virus? |
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| If you answered Yes to the previous question, how do you intend to keep this pet separated from the infected pet(s)? |
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| For all current & deceased pets (within past 5 years), please provide the NAME, ADDRESS & PHONE NUMBER of your Veterinarian. |
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PLANS FOR THIS PET |
| Where do you intend to keep this pet?* |
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| If you answered Both inside and outside, please explain. |
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| Where will this animal sleep? (Press Ctrl and click on all that apply.)* |
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| 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)?* |
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| How do you exercise your current dog(s) each day (include approximate amount of time and distance)? If no current dog, how do you plan to exercise a new dog?* |
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| Have you ever given up an animal for any reason?* |
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| If you answered Yes to the previous question, please explain why and where the pet is now. |
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| Under what circumstances would you give up a pet?* |
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| Do you have any family members with allergies or other health conditions that may impact the outcome of this adoption?* |
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| If you answered Yes to the previous question, please explain. |
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| Please provide the NAME, ADDRESS & PHONE NUMBER of the Veterinarian you plan to take this pet to.* |
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| Please give the NAME, PHONE/EMAIL & RELATIONSHIP of 2 character witnesses who do not live with you. (At least one of them must be a non-family member.) * |
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| Briefly explain why you can provide the best home for this animal.* |
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| 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?* |
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| Are you willing to spend as much as $500 annually for your pet's care?* |
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| Are you willing to make a life-long commitment to this animal?* |
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| Are you willing to take your adopted dog through at least one basic obedience class?* |
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| By submitting this application, you are consenting to allow a Furry Friends Network Representative to contact your veterinarian to obtain pet history and medical information. |
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| 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. |
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Fees: Furry Friends Network is a non-profit organization. Adoption fees cover the cost of vaccinations, spay/neuter surgery and microchipping. The adoption fee is $250.00 to adopt a dog or puppy.
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