Do you rent own live in military housing?

If renting, can you provide proof of permission to own a pet? Yes  No

Renters: Landlord name and phone number is REQUIRED:

How long have you lived at this address?
Less than 1 year   1-3 years    over 3 years

How long did you live at your previous address? 
Less than 1 year   1-3 years    over 3 years

Does your whole family agree to adopting? Yes No

Are there children in the home or regularly visiting? Yes No    
Ages of children:
Have the children been around animals before? Yes  No
 
Does anyone smoke inside the home? Yes No

Is anyone in the home allergic to pets?  Yes  No   If yes, please describe:

Please tell us about the family pets you have now:

Has one of your pets had a contagious illness (such as parvo, feline leukemia, ear mites or mange) in the last 12 months? Yes No   If yes, please describe below:

Have you also had pets in the past? Tell us about them: 
What kind? How long did you have them? What happened to them?

Were they spayed or neutered? Yes No    Were they declawed?  Yes No

What were your reasons for spay/neuter?

What were your reasons for declaw?

Why do you want to adopt a pet?

Who will be primarily responsible for the new pet?

Where will the pet sleep at night? 

Where will the pet spend most of its time?
House    Yard    Crate/Kennel    Garage    Other

How long will it be left alone each day?

Where will it be kept when no one is at home?
House  Yard  Crate/Kennel  Garage  Other:

Do you have a fenced yard? Yes No  Type of fence:    Height:

For cats:  Kept indoors  Allowed outdoors

When outside, will the pet be restrained? Yes No
If restrained, how?
Tied  In a run  Fenced yard  Leashed Other:

How will the pet be exercised, and how often?

How will the pet be trained? Owner   Obedience classes   Other:

Which veterinarian/clinic will you use?

If you go away for a few days, who will take care of your pet?
Friend    Sitter    Boarding kennel    Other:

Are you planning to move in the near future?  Yes  No  
 If yes, what is your plan for your pet when you move?

What is your plan if for some reason you cannot keep this pet?

May we arrange to visit your home as part of the adoption process? Yes No  

Any other information you wish to include, or answers you want to expand on, please do so here:

By submitting this application, I confirm the following:

I am at least 18 years old. I have read and understand the adoption policies and fees as stated on the FOP website ("Pets" page). I understand that I may not be contacted unless my application is the best match for this pet. I have not misrepresented any information in this application.