Do you support legislated controls on breeding?
Yes, I support mandatory spay/nueter laws
I support some breeding controls but not mandatory spay/neuter
No I do not support any controls on breeding
Florida Big Dog Rescue Adoption Application
Animal's Name
Gender
Male
Female
Applicant Name
Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Email
Daytime Phone
Cell Phone
Please explain why you want a pet
Is this pet for
You
Your Family
Someone Else
If someone else, who?
How many hours a day will the pet be left alone?
Less than 3
3-5
5-8
More than 8
Where will the pet be kept?
Inside
Outside
Where will your new pet sleep?
Have you previously owned other animals?
Yes
No
If yes, please list them and what happened to each
Name
Species
What happened to Animal
1.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
2.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
3.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
4.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
5.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
6.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
Have you owned more than 6 animals?
Yes
No
Do you have other animals now?
Yes
No
If yes, please list them and their status
Name
Species
Sterilized
Current on vaccs, HW*
1.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
Yes
No
Yes
No
If no to either, please explain
Name
Species
Sterilized
Current on vaccs, HW*
2.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
Yes
No
Yes
No
If no to either, please explain
Name
Species
Sterilized
Current on vaccs, HW*
3.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
Yes
No
Yes
No
If no to either, please explain
Name
Species
Sterilized
Current on vaccs, HW*
4.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
Yes
No
Yes
No
If no to either, please explain
Name
Species
Sterilized
Current on vaccs, HW*
5.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
Yes
No
Yes
No
If no to either, please explain
Name
Species
Sterilized
Current on vaccs, HW*
6.
Dog
Cat
Bird
Horse
Ferret
Rodent
Reptile
Goat
Other
Yes
No
Yes
No
If no to either, please explain
*Monthly Heartworm Preventative
Do you have more than 6 animals?
Yes
No
Have you ever completed an adoption application for an FBDR animal before?
Yes
No
Do you have children?
Yes
No
If yes, please list their ages
Do you work outside the home?
Yes
No
Employer Name
Address
Phone
Do you rent or own?
Rent
Own
If renter, Landlord Name:
Landlord Phone:
Do you have a fenced yard?
Yes
No
How high is your fence?
Less than 4'
4'
5'
6'
Higher than 6'
Do you have a pool?
Yes
No
Name of Current Vet
Vet Clinic Name
Phone
Address
Florida Big Dog Rescue/ Valhalla Kennels Adoption Contract
This agreement is made between Florida Big Dog Rescue/Valhalla Kennels, Inc. (further known as FBDR) and the adopter. Checking the boxes below and submitting this form constitutes acceptance of the terms of the adoption contract and shall serve as a legal signature. No adoptions will be considered without acceptance of these terms.You must be 21 years of age or older and agree to be bound to and comply with the following terms and conditions to be considered for adoption.
I understand that a home visit by FBDR representative may be required as a condition of this adoption approval.
I understand that written approval AND proof of deposit payment may be required from a landlord as a condition of this adoption.
I will have this animal seen by a licensed veterinarian of my choice, at my expense, with in 72 hours from the date of this contract (or pick up date, indicated on this contract). Therefore I will have this animal examined at least once a year by a veterinarian and immunized as recommended by that veterinarian, at my expense.
I will seek appropriate veterinary care and/or treatment for this animal if he/she should become sick or injured immediately.
I will provide a
loving, safe, happy, clean, and gentle
home for my new pet at all times.
I will provide proper and sufficient food and water for my new pet at all times. I understand that premium pet foods are better for my animal and that certain grocery store brands have been linked to diseases in animals. I will make every effort to provide the best food available at least twice a day. (i.e., Orijen, Solid Gold, Wellness, Eukanuba, Innova)
I understand that I am adopting an indoor animal and will make him/her an indoor member of my family. This animal
shall never be maintained outside as a yard dog/cat
and shall
NEVER
be staked out or chained.
I will keep my pet parasite and flea-free and will use veterinarian-recommended products such as Advantage, Frontline Plus, or Revolution monthly. Generic store brands (i.e. Hartz) can be
harmful or deadly
especially to CATS (see
hartzvictims.org
for more information).
I will keep my pet on a monthly heartworm preventative recommended by my veterinarian.
I will not permit this animal to run at large or to become a public nuisance, and will always keep means of identification on him/her at all times. I will immediately retrieve this animal from any public or private facility when notified. In the event this animal becomes lost, I will make every reasonable effort to relocate and claim this animal including notifying FBDR.
I have been advised to clean my pet's ears and teeth regularly, and to trim his/her nails. I will discuss this with my veterinarian if I have any difficulties.
This animal will not be transported in any open pick up truck or car.
No one in my home, including myself, had or now has a pet-related allergy that has not been disclosed to FBDR.
If I can no longer keep or care for my pet at any time during his/her life, I agree to contact FBDR, FBDR will only be able to take the animal back based on foster discretion and availability. If I return this animal to FBDR for any reason, I will at no time assert any claim, charge, or demand of any kind or nature against FBDR for any charges that may have been incurred by me, including veterinarian fees, in connection with this animal.
I will not use, sell, nor donate my pet for research purposes and understand that ownership of this pet may not be transferred to any other person, firm, corporation or organization for any reason whatsoever.
I understand that an animal can be unpredictable and the FBDR cannot anticipate or insure against unexpected conduct of an animal adopted from FBDR. I acknowledge that FBDR or any FBDR volunteers have not made any warranties regarding the future condition, temperament or conduct of this animal. I hereby accept this animal as is, assume all risks and responsibilities associated with ownership of this animal, including bites, and I hereby fully and completely release, indemnify, and hold harmless, FBDR aka Valhalla Kennels, it's directors, volunteers, and agents from any and all claim, cause of action or liability of any sort or nature, whether, known or unknown, directly arising out of or in connection with the adoption, care or ownership, maintenance, retention, temperament, conduct or condition of this animal.
I agree to communicate with FBDR during the new pet adjustment period to ensure that a mutually satisfactory relationship is established in the new home.
I agree to allow FBDR to visit my new pet in my home by appointment.
I agree to make a donation for each pet adopted. I understand that a fee of $50.00 and/or immediate return of this animal, as deemed by FDBR will be incurred upon the receipt of an insufficient check. Cash donations are preferred and this contract will serve as a receipt with the donation amount indicated.
I understand that my adoption donation is
NON-REFUNDABLE
.
This contract may be specifically enforceable by FBDR through judicial proceedings, including the right of FBDR to recover the animal due to any breach of any terms of this contract, I hereby agree that in the event I breach this contract and FBDR files suit to enforce this contract or to defend any claims under this contract, I will pay any court costs and attorney's fees incurred by FBDR aka Valhalla Kennels in connection herewith.
By checking this box, I understand that this is considered a signed and legally enforceable contract.
Name of Applicant
(constitutes a signature)
Date
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