Save Animals From Euthanasia - Petfinder
Save Animals from Euthanasia
Adoption Application
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Adoption Fee: _______________________
Top of Form
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|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
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How many pets do you currently own? [pic]
Please list:
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How many animals have you owned as an adult? Name, breed, size, age, what happened to the pet (be specific):
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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:
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How many children are in your household and what are all of the ages?
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How many adults are in your household? [pic]
Who will be the one looking after your new pet?
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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?
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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?
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If you do not have a fence how will the dog safely be let out to relieve itself?
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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?
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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
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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]
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[pic][pic]Bottom of Form
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