* Name of Applicant:

* Occupation:

* Email:

* Address:

* Phone Number:

* Pet you are interested in:

* Reason for wanting pet:

* Hours per day the pet will be left alone:

* Where will the pet be when you are home?

* Where will the pet be when you are not home?

* Where will the pet sleep?

* Are you willing to provide medical care for this pet, whenever needed? No Yes

* Will your pet wear a collar and a tag? No Yes

Name of Spouse/Significant Other:

Occupation:

If this relationship were to change, with whom would the pet remain?

* Number of adults in the home:

* Age of adults in the home:

* Number of children:

Age of children in the home:

* Type of dwelling:

* Do you rent or own? Rent Own

* How many years at this address?

* Do you have landlords permission to have pet? No Yes N/A

Landlords Name:

Landlords Phone Number:

List any other pets you have had in the past (as an adult):

List any pets you currently have in your home:

* Are your current pets neutered/spayed? No Yes N/A

* Are your current pets vaccinated? No Yes N/A

Veterinarian Name:

Veterinarian Phone Number:

* Have you ever gone through any kind of pet training program? No Yes

If you have had training, where and what kind?

* How will you train this pet?

* If your pet had a behavior problem, what would you do?

* Are you aware that even trained/housetrained pets go through a period of adjustment when placed in a new home? No, I was not Yes

* What circumstances would make you consider not keeping this pet?

* What would happen to this pet if you moved out of state?

* What would happen to this pet if you moved out of the country?

* What would happen to this pet if you moved to a place that doesn't allow pets?

* FOCHP can NOT guarantee any breed of dog / puppy that we adopt out. We are not breeders and do not get the privilege of knowing their family heritage.
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* FOCHP can NOT guarantee the size of an adopted puppy when full grown. We can give you our best estimate but there is no guarantee we will be correct.
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* The adoption fee will be considered a donation to our organization at the time of adoption and may be tax-deductible. All donations / adoption donations are NON REFUNDABLE.
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* If, for any reason, the adopted pet gets sick within 3 days of adoption – you can return that animal and get a credit towards another animal from our organization for the same adoption fee price.
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* FOCHP will NOT be responsible for any vet bills from the date of adoption.
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* FOCHP will register the microchip and send you an email explaining how to make any changes. Please read this email carefully as there are offers including pet insurance. This will be sent directly to your email and may go to your junk mail/spam mailbox. If not received within 12 hours it is your responsibility to let FOCHP know it has not been received. FOCHP is not responsible for the acceptance of any insurance.
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* FOCHP will always take our animals back, however there may be a relinquishing fee and / or other requirements. Since we do not have a shelter we will have to find a foster home so please be courteous and give us as much notice as possible. If the adopter decides the pet is not suitable for their lifestyle and FOCHP has agreed to take the animal back into our care, the adopter is responsible for the transportation to FOCHP's care.
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* FOCHP is released of any liability regarding the adopted animal w/ completion of this agreement.
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