Apply to Adopt

Name *

First Name

Last Name

Phone *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please only apply 1-2 months in advance of being ready to adopt a rescue. When are you hoping to adopt a rescue dog? *

In the next 1-2 months

Permission *

I grant permission to use the information I provided in my volunteer application to process this application.

Yes

No

Commitment to professional training is required by all of our adopters. Do you agree to provide professional training?

Yes

No

Home Visit *

Would you agree to a home visit in person or via skype prior to adopting?

Yes

No

Household *

Does everyone in your household agree to adopting a dog?

Yes

No

Children *

Are there children in your household?

Yes

No

Are all of your children over 14 years of age? *

Yes

No

N/A

Have your children lived with a dog before? *

Yes

No

N/A

Allergies *

Does anyone in your household have any allergies to pets?

Yes

No

Other pets *

Are there other pets in your household?

Yes

No

Spay/Neuter other pets *

Are your current pets spayed or neutered?

Yes

No

Medical *

Are your current pets up-to-date on vaccines and medical check-ups?

Yes

No

Pet Surrender *

Have you ever surrendered a pet to an animal shelter or anyone else?

Yes

No

Home *

My residence is a:

House

Condo

Apartment

Landlord's name

First Name

Last Name

Landlord's phone number

(###)

###

####

Transition *

You understand that rescue dogs may undergo a transition period and will need time to adjust to your home.

Yes

No

Adoption fee *

You understand that there is a $850 adoption fee for dogs, which is collected for all adoptions to cover vetting expenses and transportation costs.

Yes

No

License *

You understand that Fly with Me does not provide a dog license, and that you are responsible for contacting the municipal and/or provincial governing body for your residence to register and/or license your adopted dog.

Yes

No

Privileges *

You agree that the dog you adopt will be a family pet that will sleep inside the home and enjoy house privileges.

Yes

No

Vet *

You agree to obtain a local veterinarian and maintain the health and vaccinations of your adopted dog.

Yes

No

Spay/Neuter *

You agree to spay or neuter your adopted dog, if they are not spayed or neutered already.

Yes

No

Address change *

You agree that if you have a change in address that you will notify Fly with Me immediately.

Yes

No

Difficulties *

You agree that if your adopted dog is having any difficulties adjusting that you will contact Fly with Me immediately. You will not surrender the dog to a shelter or family member/friend.

Yes

No

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Are you over the age of 23? *

(Please note that you must be 23+ to adopt with us)

Yes

No

Personal Reference Name *

First Name

Last Name

Personal Reference Phone *

(###)

###

####

Professional Reference Name *

First Name

Last Name

Professional Reference Phone *

(###)

###

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