Adoption Application
Boomer's Best Buddies Rescue
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Email *
First Name *
Last Name *
Date of Birth *
Spouse/Partner's First & Last Name
Do you have children? If so, please list their ages. *
Cell Phone Number *
Home Phone number
Best Method to Contact? *
Street Address *
City, State, Zip *
General Living Situation *
If you rent, please provide your Landlord's Contact Information including full name, address, and telephone number
Do you have a fenced in yard? *
Occupation & Employer, including full name, job title, address, and phone number *
Please list a personal reference. This person should not be an immediate family member or live within your household. Include their full name, address, phone  number, and relationship to applicant. *
Are you on Facebook? Please enter your account name. *
Do you currently have pets? If so, please list all, including what type and age of pet. *
Are your current pets spayed/neutered and current on all required vaccinations? *
Please list a veterinary reference, including name of practice, address, and phone number. If you do not currently own a pet, please list the vet practice you plan to use. **Please call your vet to authorize release of information to Boomer's Best Buddies Rescue. *
Have you adopted from any other organizations? If so, please list. *
List all pets you have owned in the last 5 years, their ages, and what happened to them. *
Have you ever given up a pet? If yes, please explain. *
Does anyone in your home have allergies to pets? *
What type of animal(s) are you applying to adopt? *
Is there a particular animal you are applying to adopt? If so, please list the name(s).
Are you applying for a male or female? *
Preferred Size of Animal *
Who will be the pet's primary caregiver? *
What is the longest time your pet will be home alone? *
Where will your pet stay when it is home alone? *
If applying for a dog: Are you familiar with crate training and how do you feel about using one? *
What circumstances would lead you to give up a pet and what would you do if you faced this decision? *
Do you understand that adopting a dog or cat can be a financial commitment of $500 or more each year for 15 years or more? *
Do you agree to contact us if you are no longer able to provide a home for the animal you're applying to adopt? Note, we will do our best to assist you in a timely manner. *
Would you allow one of our volunteers to do a home visit prior to or after the application approval? *
How did your hear about Boomer's Best Buddies Rescue? *
Your responsibilities as an adopter include: Providing vet care, including yearly checkups, vaccine boosters, heartworm and flea/tick preventative medication, etc. You will be solely responsible for the health, safety, and behavior of your new pet. *
You release Boomer's Best Buddies Rescue and hold us harmless from responsibility of any medical expenses incurred on behalf of this pet and for the behavior of this pet. *
By submitting this form, you agree to the terms stated above. Please enter your full name as your electronic signature. *
Date *
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