Adoption Application

Date: Applicant's Name: Street Address: City, State, Zip: Home Phone Number: Mobile Phone Number: Email: NAME OF PET you are applying for: Why do you want to adopt this pet? Check all that apply: Companion for you Companion for other family member Companion for other pet Protection Hunting Guide/Search pet Other: Your Veterinarian's Name:  If you have never had a pet before please list the vet that you will likely use. Your Veterinarian's Phone Number:  How many people in household? Number of adults & their ages: Number of children & their ages? Who will be the primary caretaker of this pet? Is there anyone in the home who may be adversely affected by dogs/cats (allergies, etc.)? Do all members of household want to adopt this pet? Do you own your home? If no, please provide landlord's name and phone number:  Type of Residence: Select one: House Townhouse Condominium Mobile Home Apartment How long have you lived at your present location? Do you anticipate moving in the near future? If yes, explain. Do you have a fenced in yard? If yes, describe? How do you rate your pet experience? First time pet owner Beginner Intermediate Advanced Please list the pets in household now, age, breed, & sex: Are they vaccinated? Spayed/neutered? On heartworm prevention? Tell us about any pets you have owned in the past 10 years: What happened to these pets? Will the pet wear a collar and I.D tag? Yes No Are you aware that a rescued pet may not be fully housetrained? Yes No Are you willing and able to housetrain the pet? Yes No If a behavioral problem appears, what steps will you take to work on it? If applicable (Dogs), would you be willing to take the pet to obedience training? Yes No If applicable (Dogs), how do you plan to exercise the pet? How many hours a day will this pet spend without humans? If applicable (Dogs), if more than 8 hours, do you have someone to take the pet out? Explain. When will the pet be inside? All the Time At Night In and Out Never Where will the pet sleep at night? Which of the following behavioral issues would prompt you to give up your pet? Check all that apply: Excessive Barking Biting/Scratching Family Member Poor Guard Dog Not Friendly with Guests (barking, hiding) Aggressive with Dogs/Cats Biting Chewing on Furniture or Carpet Shedding Problems with Housetraining or Litter Box Training Aggressive with Other Pets in the Household Other: please explain. None of the Above Which of the following reasons would prompt you to give up your pet? Check all that apply: Moving Having a Baby Allergies Divorce New Spouse/Partner doesn't Like Pet Financial Problems Pet's Health Problems Excessive Veterinarian Bills Other: please explain. None of the Above Would you agree to a home visit by an Out of the Woods representative? Yes No If there is any other relevant information you would like us to know: Thank you so much for your interest in adopting a rescued pet...they're the best!