Poodle and Pooch Rescue

ADOPTION or FOSTER APPLICATION

Please fill out this application and tell us which dog(s) you're interested in. You must fill out all items that apply to you or your application cannot be processed. We'll call you shortly. It might take a few seconds to load. If you want to foster, write in "foster" in the preferences section. Proof of age via a Driver's License is required at the time of adoption. Thank you!

Filling out an application does not guarantee adoption, nor does it obligate you to adopt.
All applicants are thoroughly screened, including home visits and interviews.
A donation of $100 to $350 is required at the time of adoption.

You can also download this application and mail it in.

First Name : Last Name : Age :

Spouse/Partner Name : Age :

Address : City : State : Zip :

Home Phone : Cell Phone :

Work Phone : E-mail :

Occupation : How many hours do you work outside the home?

Housing Information:

Single Family House Apartment Mobile Home Townhouse/Condo Other

Own Home? Rent Home?

If you rent, do you have your landlord's permission to own a dog? Yes No

Landlord Name : Phone Number :

Do you have a completely fenced yard? Yes No

Household Information:

Age and gender of children living in household:

(Maximum characters: 100)
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Age and gender of children visiting:

(Maximum characters: 100)
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How many hours a day will your pooch be alone?

Animals In Your Home:

Do you own any other dogs? Yes No

If yes, are they Spayed/Neutered? Yes No

What type of monthly preventions do you use:

(Maximum characters: 100)
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Please list by name, breed, size, gender of each dog owned:

(Maximum characters: 150)
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Do you own cats? Yes No

What happened to your previous pets? If they died, advise the cause and age at time of death:

(Maximum characters: 100)
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Pet Information:

How often would you have your dog groomed?

Where will your dog live? Indoors Outdoors

Where will the dog sleep?

Veterinarian / Groomer Information:

Please provide your vet's name and phone number:

Please provide your groomer's name and phone number:

Adoption Preferences:

Please keep in mind the more preferences you have, the harder it will be to find a match for you.

What size poodle or mixed breed would you prefer? Weight : lb.

Would you consider a mixed breed? Yes No

What are your color, gender or age preferences?

(Maximum characters: 100)
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Would you consider adopting a dog who has been abused or has special needs? Yes No

References:

Please provide 1 personal reference with their phone numbers:

(Maximum characters: 100)
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Additional comments you wish to provide:

(Maximum characters: 150)
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Poodle and Pooch Rescue

PO Box 781951

Orlando, FL 32878

Phone: 321-277-3089
E-mail: info@poodleandpoochrescue.org