Adoption Application

Applicant name:___________________________

Address: _________________________________

Phone number: _________________

Email address: __________________

How many people live in your household? ___________

How many are adults? _________

How many are children? _______

Ages of children: ______________________________

Does anyone in the household have allergies to animals? _________

Do all members of the household agree to this adoption? _________

Why would you like to adopt a pet? ___________________________

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Do you live in a house or apartment? ________________

Do you own or rent? _____________

If you rent, please provide name and phone number of landlord.

_____________________________________________

Do you have any pets currently? ________

What are they? ________________________________________

Have your pets been vaccinated in the last year? ______________

Have your pets been spay/neutered? _____________________

Who is your veterinarian? ______________________________

Do you give us permission to contact them for a reference? _______

How much time will the pet be left alone each day? ___________

Will your pet be allowed to go outside? ________________

What will you do with your pet when you go on holidays? _______________________________________________

What will you do with your pet if you move? _________________

Are you prepared financially to take care of any emergencies that may happen to your pet? __________________________

Are you prepared to allow your new pet at least two weeks to adjust to the new home? _________________

Have you ever surrendered an animal or given one away? _______

If so, explain: __________________________________________________________
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Thank you for your interest in adopting one of our animals. We will be in contact within two business days if you are approved.