Click Here for Printable Adoption Form

FFN CANINE Adoption Application Form

* = required field

Your Email *
Animal Name (or brief description of type of animal desired if you are seeking pre-approval) *
Animal ID # if located on petfinder.org.  (Type "none" if not applicable) *
Animal Species you are interested in * Cat    Dog    Both   
Your Name *
Street Address *
City *
State *
ZIP Code *
Township/Borough *
Home Phone # *
Work Phone #
Cell Phone #
Description of Residence: (Press Ctrl and click on all that apply.) *
Do you live with your parents? * Yes    No   
Do you have a fenced in yard? Please specify type of fence. * No Fence
Wood/wire/PVC 4ft
Wood/wire/PVC 6ft
Electric/invisible
Do you own or rent your home? * Own    Rent   
Landlord's NAME & ADDRESS:
(If you don't rent your home, type "none") *
Landlord's PHONE NUMBER:
(If you don't rent your home, type "none") *
Names & ages of everyone residing in household (INCLUDING YOURSELF): *
Have you ever owned a pet before? * Yes    No   
If you answered Yes to the previous question, please list all of your pets (living & deceased) within the past 5 years.  If a pet is deceased please indicate "deceased" next to it's name along with the approximate date of death.  (If you have never had pets, type "none") *
Are your current pets spayed/neutered? * Yes    No
Not Applicable   
Are your current pets up to date on vaccines? * Yes    No
Not Applicable   
Is your dog on heartworm preventative? * Yes    No
Not Applicable   
Has your cat been tested for FeLuk/FIV? * Yes    No
Not Applicable   
What brand of food do you feed your current pets?
Where do you keep your current pets? * Inside Outside Both
Not Applicable
If you answered Both to the previous question, please explain.
Where do you intend to keep this pet? * Inside    Outside    Both   
If you answered Both to the previous question, please explain.
Where will this animal sleep? (Press Ctrl and click on all that apply.) *
How long will this pet be alone each day (crated or otherwise unattended?) *
Have you ever given a pet up for adoption? * Yes    No   
If you answered Yes to the previous question, please explain why and where the pet is now:
Under what circumstances would you give up a pet? *
Do you currently have or have you recently had any cats or kittens which have Feline Leukemia, Feline Aids or Distemper Virus OR any dogs or puppies with the Parvo or Carona Virus? * Yes    No   
If you answered Yes to the previous question, how do you intend to keep this pet separated from the infected pet(s)?
Do you have any family members with allergies or other health conditions that may impact the outcome of this adoption? * Yes    No   
If you answered Yes to the previous question, please explain.
For all current & deceased pets (within past 5 years), please provide the NAME & ADDRESS of your Veterinarian. (If you have never had pets, type "none") *
For all current & deceased pets (within past 5 years), please provide the PHONE NUMBER of your Veterinarian. (If you have never had pets, type "none") *
Please provide the NAME & ADDRESS of the Veterinarian you plan to take this pet to. *
Please provide the PHONE NUMBER of the Veterinarian you plan to take this pet to. *
Please give the NAME, PHONE/EMAIL & RELATIONSHIP of 2 character witnesses who do not live with you. (At least one of them must be a non-family member.) *
Briefly explain why you can provide the best home for this animal. *
Adopting an animal is a big responsibility. The animal for which you are applying will be totally dependent on you for all of its needs for the REST OF ITS LIFE. This includes medical care. On an annual basis, what do you think an animal's medical care costs? *
Are you willing to spend as much as $500 annually for your pet's care? * Yes    No   
Are you willing to make a life-long commitment to this animal? * Yes    No   
By submitting this application, you are consenting to allow a Furry Friends Network Representative to contact your veterinarian to obtain pet history and medical information. * I Agree   
I certify that all information in this application is true. Furthermore, I understand that if the information contained herein is found to be false, my application will be voided and any pending adoption refused. * I Agree   
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FEES:  Furry Friends Networks is a NON-PROFIT organization.  Adoption fees cover the cost of vaccinations, spay/neuter surgery & micro chipping.

$200.00 to adopt a dog or puppy
$60.00 to adopt a cat (over 1 year old)
$90.00 to adopt a kitten (under 1 year old)
 ***Adopt 1 kitty and get a 2nd kitty for 1/2 price!

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After pressing "Submit", you will return to www.furryfriendsnetwork.com. Thank you!