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Adoption Application
Thank you for taking the time to fill out our questionnaire. The purpose of this application is to learn a little about your family and home so that our organization can make the best possible match for both you and our rescue animal. Our main concern is placing our animals in a compatible home with a family that will give them a LIFETIME commitment of love and proper care. This consultation process is designed to help us determine if the adoption is in the best interest of both the animal and the adopter. Please be aware that while completing this application does not bind you to adopt one of our animals, neither does it guarantee that we will place one of our animals in your home at this time. If you are interested in learning more about
IN ORDER TO BE CONSIDERED AS AN ADOPTER TODAY, YOU MUST: * Be 18 years of age or older. * Have identification showing your present address. * Have the knowledge and consent of your landlord. * Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a pet for the entire life of that animal.
Required Occupation:
Do you have any children? If yes, what are their names and ages?

Housing type




If you rent, what is your landlord's name and telephone number?
Required Do you have a fenced yard?

If yes, please tell us the type of fence and how high it is.
Required What pets do your currently have in your household? For each, please give us the following information: Type (dog, cat, etc.), age, whether the animal is altered, and whether it is an indoor pet, outdoor pet, or both.
Required Other than the animals previously described, what other pets have you had in the last five years? For each, please tell us the type of animal and what happened to him or her.
Required Please supply your veterinarian's name, hospital, city, and phone number
Required Is there a dog or pet limit in your city or county?

If yes, what is the limit?
Does anyone in your home have pet allergies?

Required Is the whole family in agreement with adopting a rescue pet?

If not, who isn't, and what are their reasons?
DOG ADOPTIONS ONLY
You would like a dog for:





If "other" selected above, please explain
What will you do if your new dog chews your belongings or shows other destructive behavior?
How will your dog be confined to your property? Please select all that apply.






If "other" selected above, please explain
How much exercise do you plan to give your dog?
CAT ADOPTIONS ONLY
You would like a cat for (please select all that apply):





If "other" selected above, please explain
Required Will this cat be allowed outdoors?

Required Do you plan to have this cat declawed?

What will you do if your cat claws the furniture or shows other destructive behavior?
ALL ADOPTIONS
Required Is there a specific animal you are interested in adopting from us? If yes, please indicate the animal's name and type, and tell us why this particular animal. If no, please tell us if there is anything specific you are looking for.
Required How many hours will this animal spend alone each day?




Required How long do you feel an animal should be given for an adjustment period?
Required What will you do if your new pet has issues (barks, digs, scratches furniture)?
Required What behaviors would be unacceptable to you?
Required What actions would you take to correct these behaviors?
Required Excluding your death, what conditions or circumstances would cause you to give up an animal?
Required Where will your pet be kept during the day? And at night?
Will you crate your pet when not at home?

Required Best way/time to contact you:
Thank you for taking the time to answer our questions. We hope that by going through this process, we will reduce the chance of an inappropriate match both for you and for our animals. If you have any comments regarding this adoption application or our adoption process, please feel free to let us know as we are always looking for ways to improve! Again, thank you for considering a rescue pet and saving a life.