Adoption Application
For the desired adoption of an animal fostered by MylesAhead
Email address *
Full Name: *
Your answer
Date: *
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Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zipcode: *
Your answer
Telephone: *
Your answer
Name of Animal Applying for: *
Your answer
Are you interested in cat/kitten? *
Are you interested in dog/puppy? *
Have you ever been convicted of a felony? *
If yes explain: *
Your answer
Do you own your home? *
If renting list landlord information: *
Your answer
Current Household
Do you have a limit on the number of animals you are allowed to have at your residence *
How many dogs/cats have you owned in the past five years? *
Your answer
Where are they now? *
Your answer
References
Please list two personal references, other than family members.
Full Name: *
Your answer
Relationship:
Your answer
Occupation: *
Your answer
Phone: *
Your answer
Address: *
Your answer
Full Name: *
Your answer
Relationship:
Your answer
Occupation: *
Your answer
Phone: *
Your answer
Address: *
Your answer
Current Veterinary Clinic/Doctor
Clinic: *
Your answer
Phone: *
Your answer
Address: *
Your answer
Veterinarian: *
Your answer
Are all animals in your home altered (Spayed/Neutered)? *
Pet Name:
Your answer
Place Obtained:
Your answer
Breed:
Your answer
Age:
Your answer
Pet Name:
Your answer
Place Obtained:
Your answer
Breed:
Your answer
Age:
Your answer
Pet Name:
Your answer
Place Obtained:
Your answer
Breed:
Your answer
Age:
Your answer
Pet Name:
Your answer
Place Obtained:
Your answer
Breed:
Your answer
Age:
Your answer
Pet Name:
Your answer
Place Obtained:
Your answer
Breed:
Your answer
Age:
Your answer
Are all pets up to date on vaccinations?
Do you plan on getting your cat/kitten declawed?
Will you be crate training?
Do you have a fenced in yard?
Military Service
Branch:
Your answer
From:
Your answer
To:
Your answer
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
I also certify that Myles Ahead Animal Sanctuary and Rescue may perform personal, landlord,and veterinary checks, as well as home visits in the future, if deemed necessary.
Should I be unable to maintain this animal in my home for any reason, I understand that any animal adopted from Myles Ahead Animal Sanctuary and Rescue must be returned to the rescue by the adoptive owner rather than rehoming.
Signature:
Your answer
Date:
MM
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DD
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YYYY
Submit
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