ID# ---

Date ---

Name

-~-

112 Zebbie Drive Casar, NC 28020

704-538-7346

feaganesclawsnpawsrescue@gmail.com facebook.comlfeaganesclawsnpawsrescue

K-9 ADOPTION APPLICATION

Completion of this application does not guarantee adoption of a Feaganes claws-N-paws Rescue animal. Name of applicant Name of Spouse/Significant Other Names (and ages) of children, if any Street Address Home Phone -------City Work Phone ------State _ _ Occupation Occupation _ Zip _ _ _

Cell Phone -----------

Email Address -----------------------Do you live in a House __ Apartment __ Condominium __ Town House __ Other _

Landlord's Name and Phone Number Do you Own __ Yes No

-------------------------

Rent __ ._ If you rent, do you have your landlord's permission to have a pet?

How much of the time will the dog be outdoors?

How much of the time will the dog be indoors?

About what percent of the time will the dog be left alone?

Where will it be when left alone?

What area(s) of the house will the dog be allowed into? Where will the dog sleep at night? Do you have a fenced yard? Yes __ Type offence? No __ If so, how high is the fence? Are the gate(s) normally locked? Yes __ No __

_ _ _

ID# ---

Date ---

Name ---

Do you have a pool? Yes __

No __

If so, is it fenced separately from the yard? Yes

No

Why do you want a dog? (Check all that apply) __ __ __ __ House pet __ Companion for family Companion for children Protection for business

Companion for other pet __ Protection for home/family __ Watchdog __ As a gift

Other (specify) Other pets (specify number of each): Dogs __ Cats __ Other No __ ~ _ _

If you have any dogs or cats, are they spayed/neutered? Yes __ What pets have you had in the past? What happened to the ones you no longer have? What would happen to the dog if you moved Locally?

Out of state?

Out of the country?

Do you have a regular veterinarian? Yes __ Name of Clinic

No __

If so, vet's name Address No __

---------------

----------------What kind? _

Do~s anyone in your household have allergies: Yes __ How would you train this dog? (Check all that apply) __ __ Obedience school __ Hit with newspaper Clicker/hand signals

Firm verbal commands __

Other (specify) Will you be able to live with hair on your furniture, stains on your rugs, a warm body on your bed, and an animal that might be destructive at time? Yes __ No __

ID# ---

Date ---

Name ---

Remember, pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, proper shelter and exercise for your new pet? Yes __ No __ Are you able to make a long term commitment to care for your pet for its entire life span, which could be as much as 10-20 years? Yes __ No __ Under what circumstances would you not be able to keep this dog?

List three references that do not live with you, and are not related, but have visited you recently and/or have knowledge of your care for animals.

Name

Relationship

Telephone

Name

Relationship

Telephone

Name

Relationship

Telephone

Signature

Date

FCNPR Signature

Date

Feaganes c1aws-N-paws Rescue reserves the right to refuse adoption to any Client for any reason. This questionnaire becomes part of our contract.

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FOR OFFICE USE ONLY Reference # 1 ------Approved FCNPR Signature _ Reference #2 ------Denied ----_ Reference #3 ------Pending Date ------_