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DOG ADOPTION/FOSTER APPLICATION
Applicant must be at least 21 years old
Applicant should live in the Los Angeles Area
Applicants other cats/dogs must be neutered
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Did you read the preface to this application which explains our adoption/foster criteria and process? AGAIN, please note - BF rarely places dogs as the only dog in a household where the dog would be left alone for more than 4 hours at a time
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Yes, I read the preface
No, I did not read the preface
If we choose to place a dog with you do you understand/agree to comply with our adoption/foster process?
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Yes, I understand and would comply.
No, I do not understand/do not agree to comply.
Today's date:
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Do you wish to foster or adopt?
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Adopt
Foster
What dog do you want to foster or adopt?
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First Name
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Last Name
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Street Address
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City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Do you own or rent?
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Own
Rent
How long have you been at your current residence?
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How often have you moved in the past 5 years and reason for the move.
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Are you or your civil partner or spouse a citizen of the United States?
Yes
No
Home Phone:
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Cell Phone:
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Email Address
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Best way to reach you during the DAY:
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Cell Phone
Home Phone
Work Phone
Email
1. What is your Occupation:
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2. What is your age range:
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Under 21 years
21-25 years
26-30 years
31-35 years
36-40 years
41-45 years
46-50 years
51-55 years
56-60 years
61-65 years
66-70 years
71-75 years
76-80 years
81-85 years
Over 85 years
3. Name of Spouse/Partner at residence:
4. Spouse/Partner Occupation:
5. What is your spouse's/partner's age range:
Under 21 years
21-25 years
26-30 years
31-35 years
36-40 years
41-45 years
46-50 years
51-55 years
56-60 years
61-65 years
66-70 years
71-75 years
76-80 years
81-85 years
Over 85 years
6. Other adults (21 or older) at residence. Please list name, age and relationship to you.
7. Name & AGE of children (21 years or younger) at residence.
8. If children live at your home, describe their experience with animals:
9. Who is home during the day (you, other family member, housekeeper, etc.) What hours/days?
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10. If the person home during the day is not you, what would their responsibilities be with the dog?
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11. Is anyone at your home allergic to dogs?
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Yes, one or more residents are allergic to dogs.
No residents are allergic to dogs.
I don't know if I/we are allergic to dogs.
12. Will all household members be able to come meet the dog at our adoption fair?
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Yes
No
I/we have already met the dog
13. What is your level of experience with dogs?
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Beginner: Have never had a dog.
Level 1: Had a dog as a child - never had sole responsibility for care of dog as an adult.
Level 2: Currently have first dog since establishing your own household.
Level 3: Have always had dogs in your household and consider yourself knowledgeable.
Level 4: Have done obedience, agility, guide dog, therapy dog or search and rescue training.
Level 5: Have experience rehabilitating difficult dogs: trainer or canine behavioral professional.
14. If Level 4 or 5 please give a brief summary of your experience.
15. What kinds of pets do you have now?
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Dog(s)
Cat(s)
Rabbit(s)
Bird(s)
Reptile(s)
Fish
Rodent(s)
Do not have any pets
16. Please describe current pets. The more info the better!
You MUST include breed, age, gender, weight, length of time in your care.
17. If you've never had a dog or have not had one in your care for more than 5 years why are you interested in becoming a pet guardian now?
18. Are ALL of your current cats/dogs spayed or neutered?
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All cats/dogs are neutered.
Some pets are neutered
None of my pets are neutered
Don't have any cats or dogs
19. Have you ever allowed a pet to breed?
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Yes, on purpose.
Yes, accicentally.
No, never allowed a pet to breed.
20. Where do your current pets sleep at night?
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Master Bedroom- in dog bed
Master Bedroom- on human bed
Master Bedroom- in crate
Den/ Family room
Child's room
Laundry room
Garage
Yard
Yard- in dog house
Kitchen
Don't have any pets
Other
21. If Other, please explain:
22. Where do your cats spend most of their time?
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Indoors only
Outdoors only
Indoor/Outdoor (both)
Do not have any cats
23. Where do your dogs spend most of their time?
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Mostly Inside- access to enclosed yard.
Inside Only- no yard, taken out for walks.
Mostly Outside- allowed in the house sometimes.
Outside Only- lives in the yard.
Dog door allows inside/outside access 24/7.
Only in yard when supervised.
Do not have any dogs.
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