Date: |
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Applicant’s Name: |
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Address: |
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Phone Number: |
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Email address: |
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Name of the pet you are applying for: |
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Please give the name and number of your
veterinarian: If
you have never had a pet before please list the vet that you will likely use if you choose to adopt a pet? |
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Why do you want to adopt a pet? |
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Who will be the primary caretaker of this pet? |
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Is there anyone in the home who may be adversely affected by care of dogs/cats (allergies, etc.)? Do all members of household want to adopt this pet? |
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How many people in household?
How many adults?
What are their ages? How many children?
What are their ages? |
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What type of home do you live in? Do you own your home? If not, please provide landlord’s contact information: |
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Do you have a fenced in yard? Describe? |
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How long have you lived at your present
location? |
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Do you anticipate moving in the near future? |
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Are you aware that a rescued pet may not be fully housetrained? |
Are you willing and able to housetrain the pet? |
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Please list the pets in household now, age, breed, and sex: Are they vaccinated? Spayed/neutered? On heartworm prevention? |
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Please tell us about any pets you have owned
in the past 10 years: What happened to these pets? |
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If behavioral problem arise, what steps will you take to work on it? |
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Would you be willing to
take the pet to training? |
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Have you had experience with rescued pets before? |
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How do you plan to exercise the pet? |
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How many hours a day will this pet spend without humans? If applicable, and more than 8 hours, do you
have someone to take the pet out during the day? |
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When no one is home where will the pet be kept? When you are home, where will the pet be kept? |
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Under what circumstances might you decide NOT
to keep the pet (new baby, divorce, new job, moving, problems with pet’s health, problems with pet’s behavior,
if other please specify?) |
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Copy and paste the above application into an email, answer the questions and email it to us. As soon as we receive
your completed application we will review it and be in touch through phone. |
