Adoption Application

Completion of the following application opens the process of bringing one of our wonderful saved pets into your loving home. The process is slow, because we are always understaffed, so please bear with us.

Please Note:

This questionnaire will be shared with GreenePets Foster Network's Board Members; the selected pet(s) foster home (minus personal/private information), our veterinarian and possibly the Director of the County Health Department. Please do not fill this out if you do not want your information shared with these people. (All have signed a Confidentiality Statement with our nonprofit).

Please fill this form out as completely as possible. Even though submitting a completed form indicates a willingness to adopt a pet, GreenePets Foster Network is under no obligation to accept the application.

How did you learn about our organization? *

Name of pet you would like to adopt. *

Your Name *

First

Last

Drivers' License Number *

Name of Partner *

First

Last

Drivers' License Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Do you own your home? *

Yes No

If you don't own your home, list the name of the owner, their address, and phone number. *

How many years have you worked? *

#1 Personal Reference Name (employer, teacher, veterinarian, etc.) *

First

Last

Personal Reference Home Phone Number *

#2 Personal Reference Name *

First

Last

Personal Reference Home Phone Number *

How long have you lived at this address? *

How long do you plan to live at this address? *

How long do you plan to reside in this area? *

Number of children in household and their ages. *

Do the children live in the house full time? *

Yes No

If no, when are the children in the house? *

Do you have tenants or relatives living with you? *

Yes No

Do you own your home? *

Yes No

If renting, please send us a written permission from your landlord for you to own and house this dog on the premises. Send to: GreenePets Foster Network, Inc., 485 Kitchen Branch Rd., Greeneville, TN 37743 *

Sent Pending Can't send

What type of fencing do you have? *

None Perimeter fenced kennel Yard fenced

Does a house door open into the fenced area? *

Yes No

If you marked "Other" above, please explain. *

Do you have screens on all your windows? *

Yes No

Where will the dog spend his/her days and nights? *

Inside house Outdoors Indoors at Night, Outdoors during day

If you chose "Other" above, please explain. *

Is shade available at all times in the dog's outdoors area? *

Yes No

Do you have a swimming pool? *

Yes No

If you do have a swimming pool, please describe the safety features. *

Do you have a preference for sex, age, color, and personality? *

Yes No

Are there any specific habits or problems that you are not willing to deal with? *

Yes No

If you have answered yes to the above, please explain. *

Please list all animals you presently own: Breed - How & Why obtained - Time Owned - Sex - Spayed/Neutered *

Who is responsible for the care of these animals? *

Me Partner Children Other

If you chose "Other," please specify. *

Do you have a regular veterinarian at this time? *

Yes No Hiring one now.

Veterinarian Name - Please call your veterinarian and give permission for us to check your records with this veterinarian. *

First

Last

Veterinary Clinic Name *

Veterinary Clinic Address *

Line 1

Line 2

City

State

Zip Code

Country

Veterinary Clinic Phone Number *

Does your Veterinary Clinic have Emergency After Hours Services? *

Yes No

What is the activity level in your home? *

Busy - visits by friends, meetings, children, parties at home. Noisy - T.V., stereo, machinery, tools, lots of kids playing. Moderate - normal comings and goings Quiet - "homebodies", few guests

If you have previously owned pets, please give the following descriptions: Breed - How & Why obtained - How Long Kept - What happened to Pet. *

Pets adopted from GreenePets Foster Network must be relinquished to us if your lifestyle changes and the pet has to go. Please tell us under what circumstances you would NOT keep the pet. *

If you indicated "Other", please explain. *

An immediate health check is essential for the welfare of the dog and your peace of mind. This needs to be done within the first five (5) working days of taking your dog home. Considering the high cost of veterinary care, are you willing and able to afford the necessary medical care to keep your dog healty? *

Yes No Will need help

Have you ever adopted a rescue dog before? *

Yes No Don't know

If yes, did you have any problems? Please describe. *

Pet ownership is a serious responsibility. The whole family needs to be involved in the decision to get a dog. Our policy is to insure that each person who adopts a dog not only be aware of that responsibility, but that each person who adopts a dog not only be aware of that responsibility morally, physically and financially. We have found that not every person who desires to own a dog should own one. If you understand this, please type your name below. *

First

Last

This questionnaire was designed to aid both you and us in determining if you and your family are indeed adequately prepared to assume the type of responsible pet ownership we are endeavoring to privide for our rescue dogs, and the specific dog you are requesting to adopt at this time. If you understand this, please type your name below. *

First

Last

Please read carefully and type your name below: I understand that there will always be an adjustment period for any dog coming into my home. The average is three (3) weeks to three (3) months and I am willing to work to make this pet a member of the family. I also understand that many of these dogs have survived tremendous odds and need lots of Tender Loving Care. I understand that GreenePets Foster Network reserves the right to check on the welfare of this dog on my premises, and to reclaim both possession and ownership without payment of any kind with or without court action. In the event I do not comply with the adoption contract provision and GreenePets Foster Network reclaims the pet, I waive claim for trespasser damage that I might otherwise have arising out of such reclaiming. Please type your name below if you agree. *

First

Last

By typing my name below, I agree that if at any time in the future I can no longer keep this dog. I will not give it away or sell it. I will contact GreenePets Foster network 423-552-1416, for arrangements to be made for the dog's return to the shelter. *

First

Last

By typing my name below, I understand that I am adopting a rescued/abandoned pet, therefore will not hold GreenePets Foster Network responsible for any actions or damages that might be incurred by the adopted pet. *

First

Last

By typing my name below, I authorize my employer to verify that I work at the place stated in this application. *

First

Last

By typing my name below, I authoirze my stated veterinarian to verify information I have provided in this application. *

First

Last

When you press "Submit" you agree that you have read completely the above questionnaire, and understand it fully. By pressing "Submit" you agree to abide by all the statements contained herein. *

I understand and agree to abide by all the statements contained herein. I don't understand. I don't agree.

Adoption Application

Please Note:

Dog Adoption Application