AARF Adoption Application
The decision to adopt a pet is an important one which we take very seriously.
Please take a moment to read & carefully complete this application.

Ashland Animal Rescue Fund reserves the right to deny any application.
Thank you for your understanding and cooperation.

Date: *
MM
/
DD
/
YYYY
Name of Dog/Cat you are interested in adopting: *
Name & Species
Your answer
A brief reason why you are looking to adopt today: *
Your answer
Personal Information
Name: *
First & Last
Your answer
Age: *
Your answer
Address: *
Street, City, State
Your answer
Email *
Your answer
Phone number: *
Home & Cell
Your answer
Employment Information
Employer: *
Your answer
Employer address & phone: *
Your answer
Length of time employed here: *
Spouse's Employment Information
Spouse's employer: *
Your answer
Spouse's employer address & phone: *
Your answer
Spouse's length of time employed here: *
References
Please provide the contact information of a veterinarian you have used before & plan to use with your new dog or cat. Please note, this section must be filled out if you have owned a pet in the last five years.
Please provide the name & phone number of TWO personal references (not including family members).


Veterinary & personal references will be checked.

Veterinarian name: *
Your answer
Veterinarian phone number: *
Your answer
Vet records are under the name of: *
Your answer
Reference 1: *
Name & Phone Number
Your answer
Reference 2: *
Name & Phone Number
Your answer
Household Information
Housing
Landlord's name & phone number:
Your answer
Length of time at current address: *
List all people who currently live at this address: *
Please provide name, relationship & age of each individual.
Your answer
Does anyone in your house have any known allergies to dogs/cats? *
List below any cats, dogs, etc. who currently live in your household. Please provide animals name, type/breed, age, sex, spayed/neutered, how long owned & where kept. *
Your answer
Have you owned a dog/cat before other than listed above? *
If yes, provide a brief history of what happened to it including: animal’s name, how long ago you owned it, what happened to it, & if deceased, please provide date of death.
Your answer
Has your cat/dog ever produced puppies/kittens? *
Have you ever taken one of your dogs/cats to a shelter? *
If yes, under what circumstances?
Your answer
Care of the Dog or Cat
Do you have a fenced area on your property? *
If yes, what type & how high?
Your answer
If you have no fence, how do you plan to have your dog/cat relieve himself?
Your answer
Do all adults work full time? *
How many hours each day will your new dog/cat be alone? *
How many hours each day will you spend time with your dog/cat? *
Where will your new dog/cat be kept when it’s alone? *
Where will your new dog/cat sleep? *
Your answer
What sort of training do you plan on providing? *
Your answer
Donation
We request a donation/adoption fee. Adoption fees vary per animal. This money is to help in the rescue effort, spaying/neutering & for veterinary use. Is this acceptable? *
Please realize that dogs/cats need vet care throughout their lives, including yearly boosters, heartworm & flea/tick preventive meds, etc. If you cannot afford a donation, can you afford the appropriate vet care? Please consider this before adopting. *
Additional comments:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service