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Pet Adoption Application
Animal Rescue of Carroll
1721 East 10th Street
Carroll, IA 51401
712-790-9116
Email: animalrescueofcarroll@yahoo.com
Website: www.animalrescueofcarroll.org
Email address *
Failure to fill out the application completely, may result in your application not being considered until we have all of the information. If you are serious about a pet, please fill out all questions completely.
Which animal are you applying for? *
Your answer
If this pet is unavailable, would you consider another pet?
Where will this animal be kept? *
Required
Your Name: *
Your answer
Your Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Phone number: *
Your answer
Phone type: *
Your Occupation & Spouse's Occupation *
Your answer
Please list names and ages of all persons in household: *
Your answer
Lifestyle: *
Are you: *
Required
Describe your residence: *
Required
Do you: *
Required
If you rent, landlord's name and phone number:
Your answer
What is your reason for adopting? *
Your answer
Have you ever owned a pet before? *
Required
Do you have pets now? *
Required
If you do not own pets now, how long has it been since you have had a pet? *
Your answer
If you own pets now, what kind and how many?
Your answer
Name(s) of current pet(s)
Your answer
If you own pets now, how many are spayed/neutered? *
Your answer
If you own pets now, how many are current on shots? *
Your answer
Is anyone in the household allergic to animals? If so what kind? *
Your answer
Are you aware and prepared to meet the first year's cost of regular preventative veterinary care, food, supplies and training? Could be $200-$300 depending on animal. *
Required
Some rescue pets are untrained and not housebroken. Are you willing to take a pet like this? *
Required
Name and phone number of your present or past veterinary clinic.
Your answer
Please provide a personal reference not related to you. Name and phone number needed. *
Your answer
What times would be the best for an ARC representative to call for a phone interview or meeting? *
Your answer
Are you aware and prepared to allow at least 2 weeks, usually more, for this pet to adjust to your home? *
Required
Any other comments you would like to us to know when considering your application.
Your answer
This information WILL NOT be distributed. However, may we share it with other non-profit groups, that we feel may be able to find you a suitable pet? *
Required
I confirm that I have read the adoption policies, understand them, and agree with them. (Policies can be found on the adoption contract.) *
Required
I certify that the information I have given is true and authorize investigation into all statements made above. I understand that ARC has the right to refuse any request for adoption. In addition, I give permission to ARC and their associate facilities to share information about me that may be obtained during interviews, reference checks and home visits with other humane organizations. *
Required
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