About

Beautiful sweet 11 week old boy Lassie collie/standard poodle mix . Vet checked, First vaccine and wormed 2 times . Working on house training and doing well ! application is below . Here is our application ! Hit reply to this email and you should be able to fill in ��%BD��%BD��%BDS Furry New Beginnings - Dog Adoption Application Thank you for your interest in adopting! Please complete the application below so we can help find the best match for you and our dogs. APPLICANT INFORMATION Full Name: __________________________________________ Date of Birth: _______________________________________ Phone Number: ______________________________________ Email Address: ______________________________________ Address: ____________________________________________ City: __________________ State: ______ Zip: _____________ HOUSEHOLD INFORMATION Do you: ��%BD��%BD%90 Own ��%BD��%BD%90 Rent ��%BD��%BD%90 Live with Family ��%BD��%BD%90 Other: __________ If renting, landlord name & phone number: How long have you lived at your current residence? ______ Type of home: ��%BD��%BD%90 House ��%BD��%BD%90 Apartment ��%BD��%BD%90 Condo ��%BD��%BD%90 Other ______ Do you have a yard? ��%BD��%BD%90 Yes ��%BD��%BD%90 No If yes, is it fenced? ��%BD��%BD%90 Yes ��%BD��%BD%90 No Fence height/type: __________________________________ HOUSEHOLD MEMBERS List all people living in the home (including yourself): Name | Age | Relationship Are all members of your household aware of and in agreement with adopting a dog? ��%BD��%BD%90 Yes ��%BD��%BD%90 No Do you have children? ��%BD��%BD%90 Yes ��%BD��%BD%90 No If yes, please list ages: ______________________________ PET HISTORY Have you owned dogs before? ��%BD��%BD%90 Yes ��%BD��%BD%90 No If yes, please list previous dogs (breed, age, and what happened to them): Do you currently have pets? ��%BD��%BD%90 Yes ��%BD��%BD%90 No If yes, please list current pets (type, breed, age, spayed/neutered): Are your current pets up to date on vaccinations? ��%BD��%BD%90 Yes ��%BD��%BD%90 No VETERINARY INFORMATION Veterinarian Name: __________________________________ Veterinary Clinic Name: ______________________________ Address: __________________________________________ Phone Number: _____________________________________ (We may contact your vet for a reference.) LIFESTYLE & CARE How many hours per day will the dog be alone? _________ Where will the dog stay when you are not home? Where will the dog sleep at night? How will you exercise your dog? Are you willing to provide: Routine veterinary care? ��%BD��%BD%90 Yes ��%BD��%BD%90 No Training/socialization? ��%BD��%BD%90 Yes ��%BD��%BD%90 No Grooming needs? ��%BD��%BD%90 Yes ��%BD��%BD%90 No ADOPTION DETAILS What type of dog are you looking for? (age, size, energy level, etc.) Why do you want to adopt a dog? What will you do if your dog develops behavioral issues? What will you do if your dog requires medical care beyond routine visits? ADDITIONAL INFORMATION Is there anything else you would like us to know? AGREEMENT I certify that the information provided is true and complete. I understand that Furry New Beginnings reserves the right to deny any application. Signature: __________________________ Date: __________

Contact

Furry new Beginnings
Columbiana County
Petersburg, Ohio

Email