Please list all the other people in your home, their relationship to you, and their ages *
Your answer
Occupation (if retired please tell us and also list your previous occupation) *
Your answer
Who will be primarily responsible for the care of the animal? *
Your answer
Do you have children under the age of 18? *
If yes, what are their ages?
Your answer
What are your reasons for wanting to adopt? *
Your answer
What qualities are you looking for in the animal you're applying for? *
Your answer
Would you object to a rescue representative visiting your home? *
What type of dwelling unit do you live in now? *
Do you rent or own? *
Have you ever owned this type of animal before? *
What is your experience taking care of this type of animal and its behaviors & needs? If you have none we'd be happy to provide you advice. *
Your answer
Please describe the type of housing that will be provided for this animal. *
Your answer
Do you have any dogs or cats living in your home? *
Who would take care of this animal if you couldn't anymore? *
Your answer
How did you find out about the animal you're applying for? *
Is there anything else you'd like us to know?
Your answer
Adopters over the age of 70 years are required to have a co-adopter under the age of 70 in case of accident or death. If this applies to you, who will be your co-adopter and what is their relationship to you? (Example: Mary Smith, daughter)
Your answer
Co-adopter's phone number
Your answer
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