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Adoption Application
Thank you for your interest in adopting a new pet. After your application is approved, you will meet the pet. If everyone feels that the pet may be a good match, we bring the pet to your home for a visit and see how he does in your environment. You have 7 days to return the pet and get a full refund. n
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* Indicates required question
Are you at least 25 years of age?
*
Yes
No
Required
Do you own your own home?
*
Yes
No
Required
Name of Applicant(s):
*
Your answer
Address
*
Your answer
Home Phone
*
Your answer
Cell Phone
*
Your answer
Email Address:
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Your answer
If you are interested in a specific pet, please list the pet's name and breed:
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Your answer
Type of pet you are looking for:
*
Dog
Cat
Puppy
Kitten
Other
Required
List breeds preferred:
Your answer
Age range:
Your answer
Weight range:
Your answer
Is this pet going to be a gift?
Yes
No
Reason for wanting a pet:
Watchdog
Companion
Hunting
Family pet
Child's pet
Companion for current pet
Other:
Is this going to be an inside or outside pet?
Your answer
What type of personality are you looking for in a pet?
Your answer
How active a pet are you looking for?
Couch potato like me
Slightly active
Playful but mild-mannered
Loves attention and play
Very active, loves to run and play
Non-stop jumping and playing
Have you or any household members been convicted of a crime against animals?
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Yes
No
Required
Ages of adults including yourself, and children in the home, and their relationship to you:
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Your answer
If you have children visit your home often, what ages are they?
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Your answer
Do all the adults in the home work full time outside of the home?
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Yes
No
Required
Do you feel confident that you will be healthy and able to care for a pet for it's life expectancy of 15-20 years?
*
Yes
No
Required
If you currently have pets in your home, please list their type, breed, ages, weights, and sex:
Your answer
Please list past pets and what happened to them:
Your answer
Name and phone number of veterinarian (current or past):
Your answer
Name and home phone number of a personal reference who you don't mind us calling:
Your answer
If this pet becomes ill or injured, are you financially able and willing and able to spend $500.00 or more for vet care?
*
Yes
No
Required
Does anyone in the household have allergies or asthma?
Yes
No
Which best describes your home?
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House
Condo
Apartment
Farm
Dorm
Other:
Required
Do you rent?
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Yes
No
Required
Does your landlord allow pets?
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Yes
No
Required
Do you / will you have an enclosed fenced area? (We highly suggest at least a small fenced area outside one of your doors) We do not recommend invisible fence because: There are too many dogs in the pound with electronic collars Children have been bitten while playing with a dog which was shocked. Dogs have been stolen, injured or killed while within an invisible fence. Dogs must wear a pronged collar.
Yes
No
Describe the height and type of fence that you have:
Your answer
If you do not have a fenced area, are you willing to fence a small area? If so, what type of fence, how large an area, and how soon?
Your answer
How do you plan to exercise the pet?
Your answer
Who will be caring for the pet?
Your answer
How many hours a day will your pet be home alone? If your pet will be alone more than 5 hours a day, with no other pet to keep him company, we suggest a dog at least 5 years old.
Your answer
Where will you keep your pet while you are not home?
Your answer
What arrangements will you be making when you take trips?
Your answer
Do you have a swimming pool, and if so how will you protect your pet from drowning?
Your answer
Why did you decide to adopt a pet?
Your answer
Would you consider fostering a pet for a short time?
Yes
No
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