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CARE Adoption Application
Companion Animal Rescue Endeavor Adoption Application Form
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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!
Date of Application *
Name of Applicant *
Applicant's Date of Birth *
Applicant's full Address *
Street Address, Apartment number, City, State, Zip
Applicant's E-mail address *
Co-Applicant Name and Date of Birth *
If applicant is less than 21 years of age a co-applicant who is at least 30 is required -ID verification required
Applicant Cell Number *
Applicant Home Number *
Applicant Work Number *
Co-Applicant's Number *
What type of pet are you applying to adopt? *
Name(s) of the pet(s) you are interested in adopting? *
Why are you interested in adopting this pet? *
If you are considering a "special needs" pet, do you have previous experience with special needs animals? If so, please explain: *
Number of people in your household? *
Are any under the age of 18? *
Ages of childern in the household (if any) *
Do you rent your home? *
If Renting, please list the name of landlord below: *
If Renting, please list the phone number of landlord below: *
Where will the pet be kept? *
What type of shelter is outside? *
Do you have a fenced-in area in your yard? *
If yes, how high is the fence? *
Do you currently own any pets? *
How many dogs do you currently own? How many male and female? *
Are your dogs Spayed/Neutered? *
What breeds is your dog(s)? *
How many cats do you currently own? How many male and female? *
Are your cats Spayed/Neutered? *
Other pet(s) in the household? *
How many pets have you owned in the last 3 years? *
Do you still have those pets? *
If not, what happened to them? *
If you have a cat or dog, do you give them monthly heartworm prevention *
If yes, what products do they receive? *
If you have a cat or dog, have they received vaccinations within the past year *
If yes, who administer the vaccines? Hospital name? *
If you have cats, have they tested nagative for feline leukemia and FIV? *
If you are applying to adopt a cat, do you have any plans to have this cat declawed? *
If yes, what is your primary reason for declaw? *
If you are applying to adopt a dog, do you plan to have any cosmetic surgeries (ear cropping, tail docking, etc.) preformed on this pet *
If yes, what type of surgery and what is your primary reason? *
If you have had pets, or currently own pets, we need to contact your veterinarain as a reference. Please list the name and number of your veterinarian below: *
Please list 3 references that we may contact below (at least 1 non-family)
Name #1 *
Relationship to Applicant *
Phone Number *
Name #2 *
Relationship to Applicant *
Phone Number *
Name #3 *
Relationship to Applicant *
Phone Number *
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? *
How did you hear about CARE? *
Is there anything else that you would like for us to know about you? We'd love to hear back! *
Electronic Signature (Name in full) *
Thank you so much for your interest in CARE! We will contact you within 7-10 business days.
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