Adoption/Foster Application for Dogs - Oregon Coast Humane Society

Dog Adoption/Foster Application

In order to be considered for an adoption today, you must be at least 18 years of age, have a valid ID with current address; have your landlord’s name and telephone number (or lease); and be able and willing to spend the time and money necessary to provide training, medical treatment, and proper care for a pet. I understand that this application does not reserve this animal nor does it mean I am eligible to adopt from this agency.

ANIMAL INFORMATION

Do you want to *

Foster

Adopt

Dog Name

Where did you hear about this animal? *

APPLICANT INFORMATION

Your first name *

Your last name *

Email address

Are you 21 or older? *

YES

Primary Phone *

Driver's License #

Mailing/Physical address *

Country

City

State

Zip code

Occupation *

HOUSEHOLD INFORMATION

Do you *

Own

Rent

If you do not own, does your lease allow pets? *

YES

Landlord name: *

Landlord Phone *

Do you have a completely fenced yard? *

YES

Fence Height: *

Fence Size: *

________ x ________

Fence type: *

CHAINLINK

WOOD

OTHER

Is there shelter? *

YES

If there is no yard, please describe how you plan to exercise your dog and how often: *

How many people live in your household? *

Ages of children under 18: *

Is everyone in your household in favor of adopting/fostering this pet? *

YES

Is anyone in your household allergic to dogs?

YES

CURRENT PETS

Animal 1 is a *

DOG

CAT

NONE

Animal 1's Breed:

Animal 1's Age:

Animal 1's Sex:

Male

Female

Is Animal 1 FIXED?

YES

Animal 2 is a

DOG

CAT

Animal 2's Breed:

Animal 2's Age:

Animal 2's Sex:

Male

Female

Is Animal 2 FIXED?

YES

Animal 3 is a

DOG

CAT

Animal 3's Breed:

Animal 3's Age:

Animal 3's Sex:

Male

Female

Is Animal 3 FIXED?

YES

Are ALL pets currently in your home up to date on vaccinations and licensed in the county you reside in? *

YES

THERE ARE NO PETS

HISTORY

Have you ever adopted an animal from Oregon Coast Humane Society? *

YES

Have you surrendered an animal before (to a shelter/rescue/family/friends)? *

YES

If YES, why:

What is the name of your regular veterinarian?

Veterinarian's Phone

Veterinarian's Address

Apt, suite, etc.

Country

City

State

Zip code

Do we have your permission to contact your regular veterinarian as a reference?

YES

Lifestyle Information

OTHER:

On a normal day, how many hours will your dog be alone? *

Where will they be during this time? *

Where will your pet sleep? *

Will your dog primarily be an indoor or outdoor pet? *

INDOOR

OUTDOOR

BOTH

Approximately how many hours will your pet be outside? *

What is the activity level in your home? *

LOW

MEDIUM

HIGH

Describe your training plan for this dog: *

Under what circumstances would you return a pet to the shelter? *

How much do you think it will cost each month to provide the necessary medical care, dietary needs, and overall welfare for this dog? *

REVIEW

If the shelter deems it necessary, do you agree to participate in a home visit prior to adoption/foster? *

YES

Have you reviewed the Oregon Coast Humane Society adoption or foster policies? *

YES

Do you verify that you have reviewed the information provided on this form and that it is correct? *

YES

Do you want/need additional information on how to train your dog? *

YES

Agreement *

YES

Oregon Coast Humane Society wishes to place each of our pets into permanent, caring, and responsible homes. Your completion of this form does not guarantee that your application will be approved. Pets are always placed in homes that are compatible with their needs and personalities. Do you understand and agree that Oregon Coast Humane Society has the right to deny any application, for any reason, regardless of your relationship with the shelter?

I have read the above information carefully and have filled out this application honestly. *

By clicking the check box I agree to the terms

I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand that The Oregon Coast Humane Society(OCHS) reserves the right to annul the adoption and reclaim the animal. I give OCHS permission to fully investigate the information provided as well as contact veterinarians and related officials. I understand that OCHS requires all adopted cats to be spayed or neutered. I agree to provide regular health care for the cat and am prepared to provide for this cat for possibly 12 years or more. I further agree to contact OCHS if I can no longer keep this cat. In addition, I understand the adoption decision is dependent on many factors; including but not limited to, the compatibility of the family and home of the individual animal, and other applications received on this animal. I understand it is OCHS’ prerogative to decide the home that is most appropriate and that their decision is final, and therefore I will not argue with the decision.

For security verification, please enter any random two digit number. For example: 99

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