Adoption Form - Rivers and Bluffs Animal Shelter
Rivers and Bluffs Animal Shelter strives to find the absolute best fit for the animals under our care, completing background checks, and ensuring the environment where the animal will be living will offer the best outcome for the animal.
Phone: (608) 380-1559
Address: 460 Cliffwood Drive, Prairie du Chien, Wi 53821
Name of animal *
Your answer
Adoptor's First and Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone # *
Your answer
Best time to call *
Your answer
Email address *
Your answer
What is your housing situation? *
Required
If renting, please list your landlord’s name and phone number:
Your answer
Place of employment:
Your answer
How long have you been there?
Your answer
Current pets and/or pets in the last 5 years. If no longer with you, please state why. (Please include whether Dog or Cat, Name, Breed, Age, Spay/Neuter? Are Vaccinations and license current?)
Your answer
Veterinarian’s Name and Phone Number: (*Please notify them of a shelter member calling to verify your pet information. )
Your answer
Why are you interested in this specific pet for adoption? *
Your answer
Are you prepared to provide yearly veterinary care, grooming, emergency expenses, supplies and food for the lifetime of this pet? (These expenses can often add up to hundreds of dollars each year.) *
All pets making the transition from shelter to a new home need time to adjust to a new family and may require housetraining and behavior training. Are you willing to provide any needed training? *
Adopting a companion animal is a life-long commitment and a great responsibility! You will be sharing your life with a pet for up to 15 - 20 years. Are you willing and able to make this life-long commitment to this animal?
Will this pet be kept indoors or outdoors? *
General plans to care for... *
Your answer
How will you keep this pet confined to your property? *
Required
How will the pet be left alone when you are away? How many hours per day on average will that be? *
Your answer
What will happen if you move or your health significantly declines? How you thought of other arrangements *
Your answer
What do you consider an acceptable reason to give up a pet? *
Your answer
What topics would you like more information about if you are approved to adopt? *
Required
Household Members and Ages: *
Your answer
Does anyone have any pet allergies? *
Have you or any current family member been charged with or investigated for animal abuse, neglect or cruelty? *
By signing below, I certify that all the above information is true, accurate and complete to the best of knowledge and that ALL household members agree to the adoption. I recognize that any misrepresentation will result in the loss of adoption privileges. I authorize investigation of all statements and understand vets,landlords, references, etc. will be contacted.I also understand that by initialing below, RABAS reserves the right to refuse any application without explanation.
First and Last Name *
Your answer
Date *
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Our organization has done its best to evaluate the health and disposition of the pet(s) you are adopting. However, Rivers and Bluffs Animal Shelter can only assure you that the pet(s) you are adopting appeared healthy and was/were suitable for adoption at the time of the adoption. It is possible that he or she has been exposed to diseases that may not show symptoms for several weeks, including diseases that could be transmittable to humans. More Information: https://tinyurl.com/yyq3gnxx
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