Adoptee request
Please provide this information for the volunteers to qualify you as an adoptee
Name *
Email *
Address *
Phone number *
Please provide the reason for having a pet?
What kind of pet do you want to adopt?
Place of employment and position
Number of adults ( 18 and older) living in your house?
Number of children ( under 18) living in your house?
Ages of children
Who will be the primary caregiver?
Will the pet live with you or someone else?
Is everyone in your household aware of your intentions to adopt a pet
Clear selection
Are you financially able to provide adequate food and shelter, annual vaccinations, yearly health check-ups additional vet care for unexpected illness/ injury, Flea prevention, grooming and obedience training for the pet you wish to adopt?
Clear selection
Have you or anyone else living at the address above, ever been charged or convicted of animal neglect, cruelty/ abuse, or domestic violence?
Clear selection
What's your opinion about neutering/ spaying the pet?
Have you ever been denied to adopt by another rescue organization or animal control shelter?
Clear selection
Describe your place of residence, where, and how you plan to keep the pet?
How many hours do you plan to tie up the pet?
Is your place rented or own?
Clear selection
Do you or any family member is allergic or breathing issues? Have you checked with the doctor if having a pet may aggravate it?
Have you or any adult living in the house, ever had to surrender a pet to the humane society or animal control?
Clear selection
If Yes, please explain
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