Adoption Application Form - Florida Poodle Rescue

Florida Poodle Rescue Adoption Application

Application Begin

Please remember that our goal is to find the right Forever Home for each dog. Our application may ask a lot of questions but it is in the best interest of the dogs and you to answer all of the questions.

Please answer all questions. All fields with * must be answered or the form cannot be submitted.

You and Your Household

First Name*:

Last Name*:

Gender*:

Female

Male

Age (must be at least 21 years old to adopt)*:

Primary Address*:

Unit or apartment number*: (Enter NA if not applicable)

County*:

City*:

State*:

Zip*:

Do you have a second or seasonal address:

Yes

Address 2*:

County*:

City*:

State*:

Zip*:

How many months of the year are you in Florida?*:

Primary Phone*:

Cell Phone*:

Email Address*:

Occupation*:

Your spouse, roommate, or partner

Has your spouse, roommate or partner agreed to adopt a dog?*

Yes

It’s a surprise

We have not decided yet

No other person in my household

First Name*:

Last Name*:

Age*:

Occupation*:

List the ages of all children in your house*:(Enter NA if not applicable)

Is anyone in your household allergic to dogs?*

Yes

If Yes, who?

Why do you want to get a dog now?*

Why is a poodle the right breed for you?*

How did you educate yourself on poodles?*

Who will be the primary caregiver for your dog?*

Please describe your usual daily routine.*

Does the primary caregiver work outside the home?*

Yes

If Yes, describe the plan you have in place for care of your dog while you are at work.*

How many hours will your dog be left alone each day?*

Where will your dog stay when you are not home?*

Where will your dog stay when you are on vacation?*

Will your dog be allowed complete access to your house?*

Yes

Where will your dog sleep at night?*

Do you plan obedience training for your dog?*

Yes

How do you plan to exercise your poodle?*

What do you consider unacceptable behavior for your dog?*

What is your philosophy on correcting your dog (e.g. if your dog is on the furniture but is not allowed, if your dog chews your shoes, etc.)?*

How do you plan to handle potty accidents in your home?*

Your Home and Property

What is your housing situation?*

If other, please describe:

Are you in military housing?*

Yes

Does your home have a swimming pool?*

Yes

If Yes, is the swimming pool enclosed?*

Yes

N/A

Is your yard completely fenced in?*

Yes

If Yes, height of the fence?

If Yes, type of fence?

Do you own or rent?* (If you rent, enter your landlord's info below or your application will not processed.)

Own

Rent

Live with parents

Your Pets and Estimated Expenses

Have you previously adopted a dog from Florida Poodle Rescue?*

Yes

If Yes, when?

Name of the dog(s) at adoption?

Are there other dogs in your household now?*

Yes

If Yes, please list each dog’s name, breed, gender, age, current status of vaccinations and status of spaying or neutering. All pets in the household MUST be spayed/neutered. The only exception is if they are currently being shown in the conformation ring or health issues preclude this surgery. Verification from the vet will be required.

Other than the pets listed above, have you had dogs in the past?*

Yes

If Yes, what happened to them?

Please list/describe any other pets or livestock you currently have.*

Regular veterinary care, healthy food, and grooming are necessary expenses for a Poodle’s family. Please estimate how much you plan to spend yearly on the following items.*

Veterinary visits (annual exams):*

Veterinary visits (illnesses/emergencies):*

Grooming:*

Food:*

Are you willing to buy monthly heartworm, flea, tick and parasite preventatives?*

Yes

List the health concerns you are aware of in the Poodle breed.*

Veterinarian's Information

I have not had a veterinarian in the past three years.

Florida Poodle Rescue requires that you provide contact information for your veterinarian if you have a pet now, OR if you had a pet for any length of time in the past three years.

Veterinarian’s Name*:

Clinic Name*:

Clinic Location*:

Phone Number*:

Groomer's Information

I have not had a groomer in the past three years.

Florida Poodle Rescue requires that you provide contact information for your groomer if you currently have a pet that requires grooming.

Groomer's Name*:

Phone Number*:

Personal References

Please provide the contact information for two friends. Must NOT be a family member, your vet, or your groomer. Including email addresses will speed up processing of your application.

Reference #1

Name*:

Email Address:

Phone Number*:

Relationship to You*:

Reference #2

Name*:

Email Address:

Phone Number*:

Relationship to You*:

Miscellaneous Questions

What traits (personality, approximate age, activity level, social skills) are you looking for to best meet your needs?*

Why do you want to adopt rather than buy a Poodle?*

May a Florida Poodle Rescue representative visit you and your home?*

Yes

Have you applied to or are you working with any other animal rescue or adoption organizations?*

Yes

If Yes, please list the name(s) of the other rescue(s) you have applied to:

Our dogs are all in foster care, throughout the state of Florida. How far are you willing to travel to meet a dog at the foster's home?*

How did you hear about Florida Poodle Rescue?*

If Other, please explain:

I carefully read the adoption information. This is my digital signature authorizing you to consider me as a potential adoption applicant for Florida Poodle Rescue.

Florida Poodle Rescue
P.O. Box 7336
St. Petersburg, Florida 33734

Phone: (727) 265.1766

Email: info@floridapoodlerescue.org

Application Begin

You and Your Household

Your spouse, roommate, or partner

Your Home and Property

Your Pets and Estimated Expenses

Personal References

Miscellaneous Questions

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