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CARE Adoption Application
Companion Animal Rescue Endeavor Adoption Application Form
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* Indicates required question
If you are applying for a special needs pet, you will also need to fill out the special needs application addendum, here:
https://forms.gle/r4iiRP88p6tB2gYNA
Please answer all the questions on the form, if you don't have an answer or one doesn't apply to your specific scenario please answer with N/A.
Thank you for your interest in our CARE pets!
April 5, 2025
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Full Name: Spring Harris
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Your answer
Date of Birth:
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Address:
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Your answer
Email:
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Your answer
Co-Applicant Name and Date of Birth:
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If applicant is less than 21 years of age a co-applicant who is at least 30 years old is required - ID Verification required.
Your answer
Applicant Cell Number:
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Your answer
Applicant Home Phone:
Your answer
Applicant Work Number:
Your answer
Co-Applicant Phone Number:
Your answer
What type of pet are you applying to adopt?
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Cat
Dog
Other
Name of CARE pet:
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Your answer
Why do you want to adopt this pet?
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Your answer
If you are considering a "special needs" pet, do you have previous experience with special needs animals? If so, please explain:
Your answer
Number of people in household:
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Your answer
Are any under the age of 18?
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Yes
No
Age of children in the home?
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Your answer
Do you rent your home?
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Rent
Own
If Renting, please list the name of landlord / complex below:
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Your answer
If Renting, please list the phone number of landlord / complex below:
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Your answer
Where will the pet be kept?
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Inside Only
Mostly Inside
Mostly Outside
Outside Only
What type of shelter is outside?
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Your answer
Do you have a fenced-in area in your yard?
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Yes
No
N/A
If yes, how high is the fence?
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Your answer
Do you currently own any pets?
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Yes
No
If you have dogs, how many male? How many female?
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Your answer
Are your dogs Spayed/Neutered?
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Yes
Not yet (plan to)
No, no planning to
N/A
What breeds of dog(s) do you own?
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Your answer
How many cats do you currently own? How many male and female?
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Your answer
Are your cats Spayed/Neutered?
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Yes
No
N/A
Other pet(s) in the household?
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Your answer
How many pets have you owned in the last 3 years?
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Your answer
Do you still have those pets?
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Yes
No
N/A
If not, what happened to them?
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Your answer
If you have a cat or dog, do you give them monthly heartworm prevention
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Yes
No
N/A
If yes, what products do they receive?
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Your answer
If you have a cat or dog, have they received vaccinations within the past year
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Yes
No
N/A
If yes, who administer the vaccines? Hospital name?
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Your answer
If you have cats, have they tested negative for feline leukemia and FIV?
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Yes
No
N/A
If you are applying to adopt a cat, do you have any plans to have this cat declawed?
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Yes
No
N/A
If yes, what is your primary reason for declaw?
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Your answer
If you are applying to adopt a dog, do you plan to have any cosmetic surgeries (ear cropping, tail docking, etc.) performed on this pet?
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Yes
No
N/A
If yes, what type of surgery and what is your primary reason?
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Your answer
If you have had pets, or currently own pets, we need to contact your veterinarian as a reference. Please list the name and number of your veterinarian below:
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Your answer
Please list 3 references that we may contact below (at least 1 non-family)
Name #1
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Your answer
Relationship to Applicant:
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Your answer
Phone Number:
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Your answer
Name #2
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Your answer
Relationship to Applicant:
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Your answer
Phone Number:
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Your answer
Name #3
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Your answer
Relationship to Applicant:
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Your answer
Phone Number:
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Your answer
The average estimated cost of owning a dog or cat in the US is $800-$1,000 for the first year, and $500-$800 each year thereafter. Are you prepared to finacially provide for the pet(s) you are applying to adopt?
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Yes
No
How did you hear about CARE?
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Your answer
Is there anything else that you would like for us to know about you? We'd love to hear back!
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Your answer
Thank you so much for your interest in CARE! We will contact you within 7-10 business days.
Electronic Signature (Name in full)
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Your answer
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