Poodle and Pooch Rescue of Florida

ADOPTION or FOSTER APPLICATION 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 $100.00 to $350.00 (based on age) 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 : AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY 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) You have characters left. Age and gender of children visiting: (Maximum characters: 100) You have characters left. 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) You have characters left. Please list by name, breed, size, gender of each dog owned: (Maximum characters: 150) You have characters left. 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) You have characters left. 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) You have characters left. 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) You have characters left. Additional comments you wish to provide: (Maximum characters: 150) You have characters left.