Save Animals From Euthanasia - Petfinder



Save Animals from Euthanasia

Adoption Application

[pic]

Adoption Fee: _______________________

Top of Form

[pic][pic][pic]

|Name: |[pic] |Spouse/Signif. Other Name: |[pic] |

|E-Mail: |[pic] | | |

|Date of |[pic][pic][pic] |Date of application submission: |[pic] |

|Birth: | | | |

|Address |[pic] |Home/Cell/Work Numbers: | |

|Line 1: | | | |

|Address |[pic] |[pic] | |

|Line 2: | | | |

|City: |[pic] | | |

|State: |[pic] | | |

Name or breed of animal you are applying for: Have you ever owned this type/breed of dog

before: [pic]Yes[pic]No

[pic]

How many pets do you currently own? [pic]

Please list:

[pic]

How many animals have you owned as an adult? Name, breed, size, age, what happened to the pet (be specific):

[pic]

Please provide the names and phone numbers of three personal references. Please include one neighbor, if possible. Please do NOT include family members/relatives:

Name: [pic]Phone: [pic]

Name: [pic]Phone: [pic]

Name: [pic]Phone: [pic]

Veterinarian where your pets records are & Veterinarian phone number & Address:

[pic]

How many children are in your household and what are all of the ages?

[pic]

How many adults are in your household? [pic]

Who will be the one looking after your new pet?

[pic]

Are other members of your household in agreement with the adoption?[pic]Yes[pic]No

[pic]Not sure [pic]Have not discussed it

Where will the dog be left when alone & for how long?

[pic]

Do you plan on obedience training your new dog? [pic]Yes[pic]No [pic]Maybe

Do you have a fence? [pic]

What kind of fencing do you have? [pic]

How high is the fence?

[pic]

If you do not have a fence how will the dog safely be let out to relieve itself?

[pic]

What would make you want to give up on a dog? Please select the best answer [pic]

If you move in the future, what will you do with the animal?

[pic]

Do you agree to have annual checkups and all vaccinations administered by a

licensed veterinarian? [pic]Yes[pic]No

Do you rent or own your current residence? [pic]Rent[pic]Own

What type?[pic]House [pic]Mobile Home[pic]Apartment[pic]Condominium

If RENTING: Landlord's Name:[pic] Phone:[pic]

Will the landlord allow pets?[pic]Yes[pic]No

If YES, are there any restrictions?[pic]

Comments/Suggestions/Concerns

[pic]

All of the information that I have provided in this application is true and accurate to the best of my knowledge.

Applicant's Initials: [pic]

[pic]

[pic][pic]Bottom of Form

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download