Foster To Adopt Application Foster to Adopt Application Use this form ONLY if the animal you'd like to foster says "Foster to Adopt" in their title Date MM slash DD slash YYYY 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 Home Phone / Mobile Phone*Email* 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 tenantsDoes your landlord have any pet restrictions (i.e. size of pet, number of pets, breed)?* Yes No Please share all pet restrictions Please list all other people living in your home. If there are children, please list their ages. (Please note: we require that all family members meet the potential pet prior to final adoption approval):* Who will be the primary caregiver of this animal?* We are looking for people who will care for this animal for life. By clicking “Yes” you understand that if you adopt this animal, you are responsible for and will provide all needed medical care or behavior training for the lifetime of this pet. Are you willing and able to make this commitment?* Yes No Name of the Foster to Adopt dog/puppy you are interested in* Do 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 Why are you looking for a new companion animal?*Have you previously owned any dogs? Yes No Are there any dogs or cats 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 for each pet?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?* Yes No Is it fenced?* Yes No 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?*What types of socialization opportunities will your new dog/puppy have?*What training methods have you used and/or will you use with your new dog or puppy?*What would you do if your dog exhibited unwanted behaviors?Will you be enrolling your dog/puppy in obedience classes?* Yes No If you will not be enrolling in a training class, what is your plan for training your new pup?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. 63102