Application for adoption of an animal

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Are you 21 years or older?*

Yes
No

Do you have a form identification that shows proof of your current address?*

Yes
No

Is your home rented or owned?*

Owned
Rented

I have consent from my landlord, apartment complex, or condo association to keep a foster pet on the premises. AMA Animal Rescue has permission to contact my landlord/complex regarding my pet deposit or other rules regarding pet ownership.*

Yes
No
N/A

Landlord/Home Owner/ Complex name and phone number:

Please provide the name, phone number, and relationship for 2 references that do not reside in the same household.*

I give permission for any veterinarian providing service to me to release my medical information on any/all of my animals, past, and present.*

Yes
No

Current veterinarian name*

Current veterinarian phone number*

In the event of an animal emergency can you transport the animal to 2974 Quentin Rd, Brooklyn, NY?*

Yes
No

Please indicate which types of animals you are interested in fostering?*

Puppies
Adult Dogs
Kittens
Adult Cats

What kind of foster care can you provide?*

How many people are in your household?*

Do you have children?*

Yes
No

What are their ages?*

Do you currently have any pets?*

Yes
No

Please list any current pets in your household. Include their names, breeds, and indicate if they are spayed/neutered.

On average, how many hours per day will your foster pet be alone?*

Where will your foster be kept while you're at home?*

Where will your foster be kept when you're not at home?*

Will you be able to house your foster animals separately from your own animals?*

Yes
No
N/A

No pet is perfect! Please indicate any behaviors that you are unwilling or unable to work through.

Have you ever worked with an animal that had special needs? If yes, please describe.

Is there anything else you'd like us to know about you and your home?

How did you hear about us?

Phone

This field is for validation purposes and should be left unchanged.

Foster Application

Foster Application

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