UFHA Adoption Application
Please fill out this form to apply to adopt an animal from UFHA. Make sure to also call your vet and give them permission to speak to UFHA in regards to your application.
Email address *
Is there a specific animal you are interested in adopting? If so, please tell us their name(s).
Your answer
Date of Application *
Your answer
Name of Applicant(s) *
Your answer
Phone Numbers of Applicants- please list if number is Home (H), Cell (C) or Work (W) *
Your answer
Address of Applicant(s) *
Your answer
Do you rent or own? *
What kind of housing do you live in? *
May we contact you at work? *
How long have you lived at your current address (years, months)? *
Your answer
Do you have any plans to move in the next 6 months? *
If you RENT, please provide LANDLORD NAME and PHONE NUMBER.
Your answer
Have you adopted from any other adoption agencies/shelters/rescues before? *
If YES, please list the name(s) of other rescues/shelters/agencies you have adopted from:
Your answer
Who will be responsible for the animal? *
Your answer
Please list all family members and child(ren)’s ages. *
Your answer
Do other animals live in the home? *
If yes (other animals live in the home), please list the type of animal(s), their names, and their age(s).
Your answer
Please provide the name and phone number for PERSONAL REFERENCE #1 *
Your answer
Please provide the name and phone number for PERSONAL REFERENCE #2
Your answer
Please provide the name and phone number for PERSONAL REFERENCE #3
Your answer
Please provide the name and contact information for your current vet. If you do not have a vet, state this. You must inform your vet that a UFHA representative will be calling and give your permission for them to speak to us. Failure to do so might prevent UFHA from being able to process your application. *
Your answer
A rabies vaccine is required by law. We will not be able to process and approve your application if your current or previous pets in the home are or were not up to date on the rabies vaccine. Do you you understand? *
As with humans, animals may have unknown diseases or viruses that the shelter is unaware of or that appear later in the animals life. The animals at the shelter come from various sources and although their health is monitored while at the shelter, there is always the possibility that an animal is incubating a disease without showing clinical signs. UFHA adheres to the veterinarian standard of vaccinations and tests for all cats and dogs adopted out at UFHA. The shelter cannot be held responsible for any unforeseeable sickness or death of an animal adopted from UFHA. Due to the risk to cats, UFHA asks that all cats adopted from UFHA be kept indoors. This will reduce their risk of illness disease, injury, or becoming prey to animals in the wild.Please read and sign below if you agree to UFHA policies.I (adoptee) agree to provide an appropriate cat carrier for transportation from UFHA Shelter to the final destination.I hereby give permission for this agency / foster caregiver to contact my veterinarian to verify spay/neuter, vaccination, and any other pertinent information they should want to request for the purpose of pre and post adoption approval. This shall include a period of one year after the adoption date in order to confirm that the adopted pet is receiving humane treatment and proper veterinary care. My signature affirms the above questions have been answered honestly and accurately in support of my desire to adopt a pet from your organization. I agree to return the pet to this organization in the future, if I am no longer to properly care for it. I understand that neither the adoption agency nor the foster caregiver nor any volunteer is responsible for any injuries I/we may incur during the adoption process. This agency also has the right to deny adoption at any time to anyone they deem unfit. I also understand that this organization / foster caregiver has the right to reclaim the pet at anytime, if, in their opinion, the pet is not being taken care of to the standards they feel are appropriate. i.e.: insufficient shelter, food, water, abuse, neglect, lack of vet care, etc. Please confirm you have read and agree to all of this information. *
Applicant’s E-Signature and Date *
Your answer
Co-Applicant’s E-Signature and Date
Your answer
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