SNORT Adoption Application

Adoption Application

"*" indicates required fields

Step 1 of 7 – Dog & Eligibility

Name

First Last

Address*

Street Address Address Line 2 City State Zip

Address*

Street Address Address Line 2 City Province Postal Code

Primary / Preferred Phone*

Secondary / Alternate Phone*

Email*

Occupation*

Employer*

How long have you been at your current job?*

Previous employer and length of time employed.*

Your age*

Do you have a spouse or significant other?*

Yes

Spouse / Partner Name

First Last

Spouse / Partner Age*

How many OTHER adults live in your home?

NOT including yourself and your spouse/partner

Please list names and ages of ALL other adults living in your home.*

NOT including yourself and your spouse/partner

Do you have any children living in your home?*

Yes

Please list the names and ages of ALL children living in your home.*

Do you plan on having children living in the home at any time in the future?*

Yes

Undecided

When?*

Does anyone in the home have any animal related allergies?*

Yes

Please explain.*

Veterinarian (name, address, phone)*

Personal Reference #1 (name, address, phone, relationship, years acquainted)*

PERSONAL REFERENCE SHOULD NOT BE A DIRECT FAMILY MEMBER

Personal Reference #2 (name, address, phone, relationship, years acquainted)*

PERSONAL REFERENCE SHOULD NOT BE A DIRECT FAMILY MEMBER

Personal Reference #3 (name, address, phone, relationship, years acquainted)*

PERSONAL REFERENCE SHOULD NOT BE A DIRECT FAMILY MEMBER

Why do you feel a rescue dog would be the right choice for you?*

Please tell us why you would make a great home for a dog, in particular the dog for which you are applying?*

How did you hear about our organization?*

Are you currently working with any other rescues? If so, please provide the name, phone and email address so that we may combine our efforts.*

Foster to Adopt Program*

If you are not selected for the dog you are applying for, would you be interested in participating in SNORT’s Foster-to-Adopt program? This invitation is only valid for applicants who currently do not own a dog or cat, with the intention of permanently remaining a one-dog household post-adoption. If you are eligible and interested, select “Yes” and a SNORT volunteer may contact you if an FTA opportunity becomes available in your area.

Yes

Other

Are you interested in becoming a SNORT volunteer?*

Yes

Please specify the activities you are interested in helping with*

Please share any comments or additional information that you feel might help us find the right dog for your home

Signature*

By typing my full name here, I hereby agree not to hold SNORT or any of its volunteers liable for any physical, emotional or property damages that are a direct or indirect result of activities involved with a SNORT rescue dog. This includes but is not limited to dog bites upon meeting/greeting the dog, adopting or fostering, transport, grooming, training or evaluation of the dogs in any way associated with SNORT and its rescue process.

Non-Refundable Application Fee*

Non-Refundable Application Fee

When you click the submit button below, you will be taken to PayPal to complete your application payment. You do not need a PayPal account to submit your payment.

Once your payment is complete, your application will be submitted for processing.

If you are not redirected to PayPal when you click the submit button, please click the SAVE AND CONTINUE LATER button below, then revisit the application using the link provided on the following page and attempt to resubmit. If you continue to have difficulty submitting your application donation, you may send your donation directly through PayPal to snortrescue@gmail.com, then send us an email to let us know your application is saved, but not submitted.

THANK YOU!

Adoption Application

We're Sorry. We cannot accept your application.

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