Dog Foster To Adopt Application Dog Foster to Adopt Application Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Home Phone / Mobile Phone*Occupation* Type of Home*Single Family HomeApartmentCondoTown HouseMobile Home (Trailer)Do you rent or own your home?* Rent Own If renting, please provide your landlord's name and phone number* Safe Hands verifies with all landlords before adopting a pet to their tenantsIf renting, are pets allowed?* Yes No Length of time at current residence?* Do you plan to move within one year? If so, will you rent or own? Age and relationship of others living in your home?* Name of first Safe Hands pet you are interested in* Name of second Safe Hands pet you are interested in (if applicable) Name of third Safe Hands pet you are interested in (if applicable) Why are you looking for a new companion animal?*Who will be the primary caregiver of this animal?* Have you previously owned any dogs? If so, what kind?* Have you ever surrendered a pet?* Yes No Please specify why you no longer own the petPlease be specificAre there any dogs, cats, or other pets living in your home?* Yes No If yes, please provide the following: Age, Breed, Gender, spayed or neutered, current on shots, good with other animals?Are you aware that the average cost of owning a dog is $750 per year? Are you committed to providing this pet with the necessary medical care and obedience training to ensure his/her well being in your home for his/her lifetime?* Yes No Please provide the name and phone number of your vet Please note that Safe Hands does contact vets for references if applicant is a previous pet ownerDo you agree to foster this animal until he/she has found a home if you decide to not adopt?* Yes No Are you able/willing to bring this animal to and from the spay/neuter appointment and any other medical appointments as needed?* Yes No What characteristics are you looking for in a new animal companion?*On average, how many hours will this animal be left alone in your home per day?* Where will this animal be kept when unsupervised?* Do you have a yard and if so, is it fenced?* How will you keep this animal on your property?*What activity level would you like your animal to have?*LowModerateActiveVery ActiveHow will this animal get exercise?*Are you familiar with: Crate Training House Training What types of socialization opportunities will your new dog/puppy have?*Have you previously trained a dog or puppy?* Yes No What training methods have you used and/or will you use with your new dog or puppy?*Will you be enrolling your dog/puppy in obedience classes?* Yes No If you will not be enrolling in a training class, why not?Where will this animal sleep at night?* Under what circumstances would you return this animal to Safe Hands Animal Rescue?*How did you hear about Safe Hands Animal Rescue?*Is there anything else you think we should know about your adoptive home?An electronic copy of your Adoption Application will be emailed to you after submission of this form.
