Terri's Critter Care & Rescue Adoption Application Form

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Name: *

Email: *

Phone Number:
*

Address:
*

City:
*

State:
*

Zip:
*

Current Vet Name:
*

Current Vet Phone Number: *

Own or Rent?
*

Own

Rent

Number of People in Household:
*

Ages of People in Household *

List Current Pets in Household:
*

How will you confine the pet when not home?
*

How many hours will your pet be left alone?
*

Is your yard fenced in?
*

Yes

Do you have a pet sitter or use a boarding kennel when on vacation?

Yes

Each pet will need adjustment time to a new household which can take up to a month or so. Are you prepared to work with your new pet for this length of time?
*

Yes

Name of the pet that you are interested in adopting:

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