FFHS Adoption Application

Name:
Email:
Address:
City:
State:
Zip:

Name of the animal you are applying for:
Is this a dog or a cat? Dog Cat

Are you adopting this pet for yourself? Yes No

If this pet is for someone else, list who and why:

List the number of other pets in the home:
Dog(s)
Cat(s)
Other

Are the pets in your home spayed/neutered and vaccinations up to date? Yes No
If no, explain why they are not:

List ages of children in your home:

Have you ever surrendered a petto a shelter or pound? Yes No
If yes, please explain:

) Will this pet be kept indoors (inside the home with free, unrestricted movement)? Yes No
If no, where will this pet be kept?
Where will this pet stay when you are not at home?

Do you: Rent Own
If renting, name of landlord and phone number:
If renting, amount of deposit:
Has this amount been paid? Yes No

Do you plan to declaw this cat? Yes No
If Yes:
Do you know that declawing is amputating the first digit of the bone? Yes No
Do you know that cats that are declawed may have behavior issues such as biting, attacking, not using the litter box & can be permanently disfigured? Yes No
Knowing this, do you still plan on declawing the cat? Yes No

How do you rate the importance of keeping a pet up to date on shots & annual vet visits? Very important Important Somewhat important Not important

List 4 things you feel are the most important for the care & well being of your pet:

Would you agree to let a FFHS representative come to your home for a visit prior to or after this pet is adopted? Yes No

By signing the adoption agreement you understand this pet will be your full responsibility & no longer FFHS responsibility Yes No

Do you fully understand and agree to surrender this pet to FFHS, that FFHS has the right to claim this pet, if you do not abide by the signed adoption agreement?
Yes No     (initials)

Vet's name        Vet's phone number

Your name        Your phone number

FFHS representative        Date