Ashland Animal Rescue Fund Adoption Application

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The decision to adopt a pet is an important one which we take very seriously. Please take a moment to read and carefully complete this application.

Today’s Date *

YYYY

Name of AARF animal you are applying for:

Is this a dog or cat?

Dog

Cat

Clear selection

Have you ever adopted from us before?

Yes

Other:

Clear selection

If you answered "Yes" above, who did you adopt?

PERSONAL INFORMATION:

Your Name:

Your Age

Address ( full address including city, state and zip code):

Home or Cell Phone Number:

EMPLOYMENT INFORMATION:

Employer Name

Employer address and phone number:

REFERENCES:

Please provide the contact information for the veterinarian you have used before and plan to use for your new dog or cat. This section must be filled out if you have owned a pet in the last 5 years. Veterinary and personal references will be checked.

Veterinarian Name (and phone number).

Vet records are under the name of:

Please provide the names and phone numbers of 2 personal references ( not including family )

Reference 1 (name and phone number):

Reference 2 (name and phone number):

If you rent please provide the following:

Landlord's Name:

Landlord's Phone Number:

List all people who live at this address, names, relationships, and ages:

List any other dogs, cats, or animals in your household with age, breed and whether they have been spayed or neutered.

Do you have a fenced area on your property?

Yes

How many hours each day will your new dog or cat be alone?

Are you planning on the animal you adopt to be an indoor pet?

Yes

Clear selection

What would happen to the animal if you had to move?

If adopting a cat, do you plan to declaw?

Please realize that dogs and cats need vet care throughout their lives, including yearly boosters, heartworm, flea/tick preventative meds, etc. If you cannot afford a donation, can you afford the appropriate vet care?

I certify the above information is accurate and complete to the best of my knowledge. I authorize the release of veterinary information related to my past and current pets. I give AARF permission to contact the persons listed above for character reference. Any incomplete or inaccurate information will be the grounds for denial of your application.

I agree to treat the animal humanely and will provide proper food, water, and will keep the animal as an indoor pet. I agree to provide veterinary care as needed. I agree to obtain the proper municipal license required under local law. I will not sell this animal or allow this animal to be used for experimentation in any way. I will not allow this animal to run at large. If I find for any reason that i can not keep this animal I will return the animal to Ashland Animal Recue Fund. I understand the ability of AARF to accept the animal back at any time will be based on capacity and other criteria, and may take several days to arrange. *

Yes

No guarantee can be made regarding the animals adopted from AARF. We do not knowingly allow any animal to be adopted if we suspect poor health. We do not guarantee or assume responsibility for temperament or behavior of animals adopted from us, nor can we be responsible for any infectious diseases that could be incubating in any animal at the time of adoption. Adoption fees are not refundable. Do you accept these conditions? *

Yes

Thank you very much in applying to adopt one of our animals at Ashland Animal Rescue Fund.

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