Friends of the Alameda Animal Shelter (FAAS) · Canine Adoption Application

ANIMAL INFORMATION

Please enter the name of the dog(s) you are interested in adopting.

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Please let us know the type of dog you are looking for: Size, age, energy level etc...

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CONTACT INFORMATION

Name

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First Name

Last Name

Date of Birth

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(mm/dd/yyyy)

Email

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Verify Email

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Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Phone

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GENERAL INFORMATION

Do all the adults in your household know that you plan to adopt a dog?

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Are there any household objections to adopting a dog?

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Is anyone in your household allergic to dogs?

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Who will be the dog's primary caretaker? (i.e. feed, train, exercise, groom, etc.)?

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Are you prepared to assume the financial responsibilities of providing your dog with adequate food, medical care, housing, training, toys, etc. (at least $1000/year)?

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Are you prepared to provide boarding/care for your pet during vacations?

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Are you prepared to commit to a life-long relationship with this dog?

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Are you planning on cropping your dog's ears?

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If you are planning to crop your dog's ears, please explain:

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Are you planning on docking your dog's tail?

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If you are planning to dock your dog's tail, please explain:

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HOUSEHOLD INFORMATION

I live in a:

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Select one

House

Condo

Apartment

Mobile Home

Other

Explain:

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Do you own or rent your home?

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We may ask for proof of ownership or a copy of a lease agreement that state you may own a cat.

My landlord allows pets and knows I am adopting:

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We may ask for proof of landlord authorization.

Lifestyle:

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Outside, I have:

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Explain

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Dog Experience:

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Number of hours a day dog will be kept outside:

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The dog will be left alone:

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Please list the name and age of ALL additional members of the household:

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Include all adults and children

Do any children regularly visit your household?

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Enter the age(s) of the children that regularly visit your household:

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Reason for adopting:

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FAMILY COMPANION

FOR MY CHILDREN

GIFT FOR SOMEONE

COMPANION FOR EXISTING PET

HUNTING

FIGHTING

OTHER

Please tell us a little about your family and how the dog will be included.

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Where will the dog live?:

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PET EXPERIENCE

Are there currently other pets in the household?

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Please tell us about all the current pet(s) in the household; Name, Breed, Age, etc.

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Please tell us about your experience training dogs or if you are ready to attend classes to give your family and your new dog the best chance of success if necessary?

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Are the pet(s) currently living in the household spayed/neutered?

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Please tell us about any pet(s) you have had that is no longer living in the household:

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Please add any information that may help us to match you with the right dog for your family (passed experience, anecdotes, questions if you are a new pet owner etc...)

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OPTIONAL

How did you first hear about this pet?

Select One

Facebook

Instagram

Twitter

Shelter Website

Pet Harbor

Pet Finder

Newspaper/Television

Pet of the week (ABC7 News)

Other

Explain

I would like to receive additional information periodically from FAAS

YES

NO

SIGNATURE

By electronically submitting this application I declare that all of the information I have given above is true and complete. Providing false information or withholding information will void the application. I understand that Friends of the Alameda Animal Shelter can decline my adoption application. I understand that adopting an animal from a shelter provides no medical or behavior assurances and I will not receive a refund of my adoption fees.