Adoption Application
For the desired adoption of an animal fostered by MylesAhead
Full Name: *
Email Address: *
Date: *
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Address: *
City: *
State: *
Zipcode: *
Telephone: *
Name of Animal Applying for: *
Are you interested in cat/kitten? *
Are you interested in dog/puppy? *
Have you ever been convicted of a felony? *
If yes explain: *
Do you own your home? *
If renting list landlord information: *
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? *
Where are they now? *
References
Please list two personal references, other than family members.
Full Name: *
Relationship:
Occupation: *
Phone: *
Address: *
Full Name: *
Relationship:
Occupation: *
Phone: *
Address: *
Current Veterinary Clinic/Doctor
Clinic: *
Phone: *
Address: *
Veterinarian: *
Are all animals in your home altered (Spayed/Neutered)? *
Pet Name:
Place Obtained:
Breed:
Age:
Pet Name:
Place Obtained:
Breed:
Age:
Pet Name:
Place Obtained:
Breed:
Age:
Pet Name:
Place Obtained:
Breed:
Age:
Pet Name:
Place Obtained:
Breed:
Age:
Are all pets up to date on vaccinations?
Clear selection
Do you plan on getting your cat/kitten declawed?
Clear selection
Will you be crate training?
Clear selection
Do you have a fenced in yard?
Clear selection
Military Service
Branch:
From:
To:
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:
Date:
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