First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Email*

Home Phone

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

How much time will the animal spend alone during the day?*

Will the animal be kept inside?*
Choose one: Yes No

Describe how you will train the pet?

Have you ever given up a pet? If yes, please explain.*

List at least 2 references with phone numbers, (who are not a family member).*

Your Veterinarian's name and phone number.*

Have you applied with any other rescues? If yes, please write which ones.*
Choose one: Yes No

Which rescues have you applied to?*

How did you hear about us?*

Who will take care of the animal?*
Choose one: Yes No

Do you own your home? If yes, skip next 2 questions.*
Choose one: Yes No

How many people reside in your household?*

If you rent, have you received the approval of your landlord to have an animal?*
Choose one: Yes No

Please enter your landlord's name and phone number, if you rent.*

Where will the animal be kept when you are home?*

Where will the animal be kept when you are not home?*

How many pets do you currently own? Please list ages, breeds, and sexes. Are all of your animals spayed or neutered? *

Would it be okay for a member of Feline Canine Friends to make visits to your home if you become a foster home?*
Choose one: Yes No

We no longer test our cats for Feline Leukemia. If you would like to have the cat(s) on this application tested there will be an extra charge of $15.00 to you, for each cat, upon adoption. YES _______ NO _______*

I certify that the information entered on this application is true to the best of my knowledge. Please enter your name and date.*