CARE Puppy / Dog Adoption Screening Form
To know more about Charlie's Animal Rescue CentrE (CARE): https://charlies-care.com/

Our Instagram Account: https://www.instagram.com/charliesanimalrescuecentre/?hl=en

Donation page: https://charlies-care.com/help-us/#donate

...or you can ADOPT one of our animals! Start the process by filling out the form below:

(ALL FIELDS MUST BE COMPLETED)

- By submitting this form, the adoption process is NOT COMPLETE
- The CARE team will go through the details and get back to you depending upon your suitability as a pet parent
- Please give a convenient time for a callback
- The FINAL adoption form must be filled up in-person at the shelter by the PRIMARY CARETAKER once the screening process is completed and approved (a photo ID and/or address proof will be required)
- All adult animals are sterilized/neutered before they are sent to adoptive homes. In case of the adoption of pups, they must be sterilized when they are ready. This can be done either in our facility or by a veterinarian of your choice
- As we are a rescue centre, we request all potential adopters to go into this process keeping an OPEN MIND ABOUT GENDER AND BREED
- A pet is a lifetime commitment and a family member. The decision has emotional, physical & financial implications. Do examine all aspects of your life thoroughly and make an informed decision before submitting the form

CARE Kitten / Cat Adoption Form: http://bit.ly/carekittenadoptionform
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Name *
Date of Birth *
Gender *
Occupation *
Address ( FULL POSTAL ADDRESS) *
Phone Number *
Alternative Phone Number
Email ID *
Re enter Email ID
1. I am interested in adopting *
2. In case you are interested in adopting a specific animal you've seen on our SOCIAL MEDIA POSTS, please mention their name. 
3. Reason for adopting? *
4. Are you living with *
Required
5 A. How many members are there in your family?
5 B. Are there any children below 13 years ?
Clear selection
5 C. If yes, will you be able to cope with children & pets?
Clear selection
5 D. In case of events like child birth and the family expanding, will you be able to cope with the baby & the pet?
Clear selection
6.House Type *
7. House Ownership *
8 A. If not owned, have you informed & received the approval of the owner. *
8 B. Please give the owners' phone number.
9A. Are you a first time pet owner? *
9B. If No, do you have any other pet now?
Clear selection
9C. If yes, which animal do you have as a pet? Please mention Species, gender & spay status.
10A. Will the new pet have human company for most part of the day? *
10 B. If no, for how many hours will the pet stay unattended?
10 C. Will the pet be chained? *
10 D. The pet will stay *
10 E. Will the dog be taken for walks & exercised regularly? *
10 F. What arrangements will you make for the pet when you have to travel for a holiday or work related event? *
10 G. In case you have to move to a new city or country along with your family, will your pet also move with you? *
11. In case of any adjustment issues, will you be open to receiving counselling support from the CARE team & work with your pet patiently? *
12.Convenient time for a call back from CARE *
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