Dog Adoption Application Form
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First Name *
Last Name *
First Name *
Last Name *
Date *
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Animal Name:
Home Phone:
Cell Phone:
Email Address:
Street Address:
City:
State:
Zip:
List all occupants of household (Name, Age, and Relationship): *
How many hours would the animal be left alone in a 24 hour period:
Where will the pet be kept when you are not at home?
When home, will the pet be:
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Current Pets in Household (list name, breed, age, sex, and whether indoor or outdoor):
Under what circumstances would you be unable to keep this pet?  Please be specific?
What is your housing status:
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How long have you lived in your current residence?
Does your Landlord / HOA/ Insurance Company have any pet limitations?  (e.g. number of pets, size (weight) of pets or restricted breeds.)  If, please explain:
Is a pet deposit required?
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If yes, has the deposit been paid?
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If you rent/lease, please provide landlord contact information:
Regarding your yard:
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Would you allow an inspection of your home and yard?
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What provisions will you make to care for this pet in the event of your unforeseen circumstances, such as illness or death?
Will you be able to provide for Health care/ veterinarian visits?
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Will you be able to provide for Grooming?
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Will you be able to provide for Pet sitting / boarding?
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Will you be able to provide for Training?
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Will you be able to provide for Comfort items / toys?
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Will you be able to provide for Food?
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The Adopter agrees to pay an adoption fee to Loving All Animals Inc.  In the event the adoption does not work out, there is a 72 hour refund return policy available.  If the adopted animal is returned thereafter for any reason, the adoption donation may be kept by Loving All Animals, Inc.
Amount:
Loving All Animals, Inc. rescues animals from various shelters and would never knowingly adopt animals which are ill or have serious health and/or behavior problems.  There may be instances where adopted animals have hidden behavior problems or are incubating a disease, even with vaccinations and exhibit no apparent symptoms.  We encourage you to establish a relationship with a veterinarian within two weeks.  Loving All Animals reserves the right to accept return of the pet and shall accept no liability for any cost incurred by you for the time the animal has been in your care.
Adopter Signature:
Adopter Signature:
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This form was created inside of Blitz Marketing Group.