| Name: |
|
| Date: |
|
| Address: |
|
| City,State,ZIP code: |
|
| Phone Number(s): |
|
| E-Mail: |
|
| Name of dog or cat you are interested in: |
|
| Why are you choosing this dog or cat? |
|
| Age and Gender of all persons in home: |
|
| Who will be primarily responsible for taking care of the animal? |
|
| Age and Types of animals in your house: |
|
| Are your current animals spayed or neutered? |
|
| If you have animals, what type of heartworm and flea preventative are you currently using? |
|
| Describe where the animal will live: |
|
| If adopting a dog, where will the dog sleep at night? |
|
| If adopting a dog, where will the dog be when alone during the day? |
|
| Tell us about all prior animals you have owned (Types, When & Where you got them, how long you had them, indoor/outdoor, what happened to them): |
|
| Do you rent or own? |
Rent Own |
| If Renting, please provide rental agency name: |
|
| If Renting, please proved rental agency phone # |
|
| Do you have a fenced in yard? If so, what type and how tall? |
|
| How long will the animal be alone during the day? |
|
| Vet's name(for references): |
|
| Vet's phone number: |
|
| Have you ever had to give an animal away? If so, why and to whom? |
|
| Are you prepared to make a financial and emotional commitment to love and care for this animal for the rest of its life however long that may be and however aggravating the animal may be at times? |
Yes No |
| Would you consider professional dog training for your new dog if challenges arise? |
Yes No |
| |
ADOPTION APPLICATION
