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Please fill out and email back to us for review. We do not require application fees. 180 Degree Rescue Foster/ Adopt Pre-Application 1. Which puppy are you interested in? ____________________________________________ 2. From which litter is this puppy?_________________________________________ 3. Are you interested in fostering or adopting?_____Foster ______Adopt 4. How did you hear about us? _______________________________________________________ Personal Info First Name_____________________________ Last Name______________________________________ Date of Birth___________________ Email_________________________________________________ Full Address __________________________________________________________________________ (Include number, street, city, & zip code) Daytime Phone Number ______________________________ Evening ___________________________ Place of Employment ___________________________________________________________________ References Vet Reference Name________________________________ Phone Number_______________________ Personal References (Name, address, relationship, phone number) 1. ________________________________________________________________________________________________ 2. ______________________________________________________________________________ Household Info Own Home_____ Rent Home______ Own Apartment______ Rent Apartment_____ Other_____ How long have you lived at current address_____________ Are you planning on moving in the future? If so, when & where?______________________________________ If you are renting, please provide landlord’s name & phone number (to verify permission to have pet)__________________________________________________________________________________ List all who resides in home, including yourself (name, age & relationship to you)____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Does anyone in home have asthma or any known allergies to dogs or cats? Please list pets currently living in household (Name, breed, age, gender, spay or neutered, indoor or outdoor)________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Have you ever given pet away before? If so, please explain: _______________________________________________ _____________________________________________________________________________________ Care of Dog Where do you purchase your heartworm prevention?____________________________ What is important to you in a dog food, what brand do you feed your current animals, and would you feed your new dog? _______________ Who will be caring for the dog? ______ ____________________________________________________ Do you have fully fenced yard? ___________________ what type of fence is used_________________ If you do not have a fence, how will you excercise and potty train your dog safely?___________________ How often will dog be left alone each day?___ Will the dog always be on leash? _______________ Will you walk your dog daily? ____________________ Will your dog be allowed to run free without supervision? ________________ Where will dog be kept when you are not home? __ What training and/or training tools/walking equipment are you comfortable using? _________________________________________ Will your dog receive formal training?___________________ Are you currently applying for another dog, thru a different organization/breeder?___________________ Foster/Adoption Terms Foster/Adoption Process: The foster/adoption process includes a completed application, a check of the foster parent/adopter personal and vet references, permission from the landlord (if the foster/adopter rents), possibly a phone interview, and a home visit with all family members and pets present. When feasible, a meet and greet with foster/adopter's potential pet is also recommended if the dog the individual/family is adopting is over six months old. If the individual/family are adopting with 180 Degree Rescue, the individual/family will also be required to sign a contract which stipulates that if for any reason they can no longer keep your new pet, he or she MUST be returned directly to us. This is to ensure the safety of our dogs.