Akita Rescue Society
of Florida
Your First Step To
Saving A Life
ARSF Pre Adoption email form.
All Fields Require An Entry. If Field Does Not Apply Enter N/A.
Warning - Hitting the enter button will erase your form
Date
First Name
Last Name
Street Address
City
State
Zip Code
Phone
Email
Which Dog Interests You
Why
Rate In Order Of Importance (1-4 with 1 as most important)
Age
Sex
Color
Personality
Where Do You Live (ie. House, Apartment, Other
)
If Other Please Describe
Do You Have A Fenced Yard
If Yes Enter Type Of Fence
Height
Would Akita Need To Be Leash Walked Or Could He/She Exercise Freely In Your Yard
Number Of Adults In Household
Children
Ages Of Children
Other Current Pets
Sex Of Pets
Past Pets
Number Of Hours Dog Will Be Alone Daily
Veterinarian
Phone
Additional References (Not Related To You)
Landlord If Renting
Phone
HOUSE CHECKS ARE REQUIRED. PURCHASE OF A 48" CRATE IS REQUIRED. CHAINING DOG IS NOT ALLOWED. INDOOR HOMES ARE REQUIRED.
Additional Information You Would Like Us To Know
