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Third Coast Adopt/Foster Application
☆☆Must be 21 years or older to apply☆☆
Name of the pet you are interested in:
Your answer
Your Name (First and Last) *
Your answer
Address, City, State, Zip *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
I/We want to: *
Required
Does gender matter in your new pet? *
Required
Some animals are more active than others, what activity level are you looking for in your new pet? *
Required
What age animal are you looking for? *
Required
Who is this new pet for?
Name and ages of the people in your home: *
Your answer
Is everyone in agreement with getting this new pet? *
Required
Do you own or rent your home? If you do not own, please list the name and number of your landlord. *
Your answer
Veterinarian's Name and Phone Number. (Please list ALL vets that have seen your pets in the past 5 years. If different from the applicant, please list the name of the person who the account is under.) *
Your answer
If you have never owned a pet in the past, please list 3 personal references. (Name and phone number) *
Your answer
Please list all pets - name, breed, age, sex, spayed or neutered. *
Your answer
What heart worm and flea prevention do you use on your pets? *
Your answer
Do you have a fenced yard?
Have you ever given up a pet? If yes, please explain.
Your answer
Have you ever had a pet die unexpectedly? If yes, please explain.
Your answer
Where will the pet stay during the day? *
Your answer
Where will this pet stay at night? *
Your answer
Where will this animal stay when you are away or on vacation? *
Your answer
If you move, or have to evacuate for a hurricane, what will you do with this animal? *
Your answer
Are you familiar with leash and licensing laws in your community? *
Required
Are you aware that vet care includes monthly heart worm and flea prevention, yearly vaccinations, and other vet visits for routine care and injuries? *
Required
May we perform a home check to verify that your home is safe for one of our animals? *
Required
Third Coast Animal Rescue Application
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