Online Enrollment Form If you are interested in enrolling an animal in our program, please submit the form below. Filling out this form is the first step in the process but is not a guarantee that we will be able to enroll the animal. Enrollment is based on a number of factors including capacity and available resources. Please explore every option possible to provide the animal you have rescued its best chance at finding a home. We recommend that you contact other organizations as well.How did you hear about Friends For Life?*Full Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Primary Phone Number*Email Address* Enter Email Confirm Email Animal species*CatDogIf this is a dog, what is the size and/or estimated weight?*If this is a dog, what is the predominate breed?*Upload a photo if you have oneAccepted file types: jpg, gif, png.Owned or stray?*OwnedStrayEstimated age of animal*Sex of animalMaleFemaleIs the animal spayed or neutered?*YesNoUnknownIf this is a cat, is it feral (wild/cannot be handled)?YesNoDo you currently have possession of this animal?YesNoWhere is the animal currently located? Also, is the animal housed indoors or outdoors?*How long have you had this animal?*If owned, what are the specific reasons you want to re-home your pet? Moving Having/had a baby No time Allergies Behavioral issues Financial Landlord/Lease restrictions No longer want the animal OtherOther*If owned, are you interested in keeping your pet if you could get assistance to resolve the issues you are having?Are you able to foster (physically house the animal) during the adoption process?*YesNoHas the animal received any veterinary care -- such as worming, vaccinations, heartworm testing, FIV/FeLV testing?*Is there any additional information you would like to share?Why do you want to place this animal with FFL?Signature:I certify that all information provided by me in connection with this form, whether on this document or not, is true and complete, and I understand that any misstatement, falsification, or omission of information shall be grounds for denial of enrollment. Please type your full name and today's date if you agree with the above statement:*PhoneThis field is for validation purposes and should be left unchanged.
