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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: *
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Full Name: *
Date of Birth: *
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Address: *
Email 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 years old is required - ID Verification required.
Applicant Cell Number:
 *
Applicant Home Phone:
Applicant Work Number: 
Co-Applicant Phone Number: 
What type of pet are you applying to adopt?  *
Name of CARE pet: *
Why do you want to adopt this pet? *
If you are considering a "special needs" pet, do you have previous experience with special needs animals? If so, please explain: We understand that he is still recovering from surgery any may need further checkups. 
Number of people in household: *
Are any under the age of 18? *
Age of children in the home? *
Do you rent your home?   *
If renting, please list the name of landlord/complex below: *
If renting, please list the phone number of landlord/complex 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? *
If you have dogs, how many male? How many female?   *
Are your dogs Spayed/Neutered?  *
What breeds of dog(s) do you own?  *
How many cats do you currently own?  *
Are your cats Spayed/Neutered?  *
Other pets 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 negative 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.) performed 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 veterinarian 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)

Full Name: *
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!  *
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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