Fabulous Flunkie Adoption Application

YOU MUST LIVE IN TOLEDO, OH OR LIVE WITHIN A 75 MILE RADIUS OF TOLEDO TO BE ELIGIBLE FOR ONE OF OUR FABULOUS FLUNKIES!

Name:*
Address:*
City:*
State:*
Zip:*
Home Phone:*
Cell Phone:*
Work Phone:*
Email:*
Preferred means of contact:*
Phone
Email
Persons in Household, ages:*
Pets in Household (Please give the names and describe type, breed, spayed or neutered, sex and age of each):*
Are the pets friendly with dogs?
Home:*
Own
Rent
If rental, do they allow dogs:
Yes
No
   
Do you have a fenced in yard? If not, how will you allow the dog to relieve itself and get exercise?*
Who will have the primary responsibility for care and training of the dog?*
Is everyone in the household supportive of having a dog in the home?*
How do you plan to discipline the dog when they do something unacceptable?*
Have you ever owned a dog before? Please describe. *
Where will the dog stay at night?*
Where will the dog stay when you are not home?*
What is the longest period of time a dog will be by itself?*
Have you ever had a pet hit by a car? If yes, how will you prevent this from happening in the future?*
Are you willing to wait several months to receive a "released" dog?*
Do you have any concerns or questions about the possibility of adopting a "released" dog?*
 
Veterinarian Office
Name:*
Phone:*
 
Positive Reinforcement Trainer
ADAI highly recommends continuing the training process of our released dogs by attending basic obedience classes from a Positive Reinforcement Trainer. This will create a firm bond between you and your new companion. If you have a trainer in mind, please list the following.
Organization/Company:*
Name of Trainer:*
Phone:*
Send required photos to kmakula@abilitycenter.org

 All fields marked with an asterisk (*) are mandatory.
   

Thank you for your interest in our program. Your application will be reviewed and an ADAI representative will contact you in the near future.