AURAS Of La Rescue Adoption Form

Animals Unlimited Rescues Adoptions and Shelters - AURAS Of Louisiana
Adoption Form
Pet(s) Of Interest*
Name*

First NameLast Name
Name Of Other Adult In Household*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone Number*

Area CodePhone Number
Home Phone Number

Area CodePhone Number
Email*
example@example.com
Occupation*
Work Phone Number

Area CodePhone Number
Birth Date*

MonthDayYear
Are you 20 years of age or older?*

YesNo
Reference #1: Full name, phone number, relation*
Type Of Dwelling:*
Do you own your own home?*

YesNo
If no, name and phone number of landlord:
Do you have a fenced in area big enough for the animal(s) of interest?*

YesNo
Name and age of ALL occupants in household (including yourself):*
Is your entire household in agreement with the decision to bring a new pet into your home?*

YesNo
If anyone is NOT, please explain:*
Are any members of your household allergic to animals?*

YesNo
If yes, please describe
What is your reason for wanting to adopt a cat, dog, other?*

House PetPest PatrolCompanionCompanion For PetGiftOther
If “Gift”, please provide the contact information of the recipient(s):
If “Other”, please explain:
Who will have chief responsibility for the care of your new pet?*
Where will your pet spend most of his/her time?*
How many total hours will your new pet be left alone during the day? Where would the pet be kept when alone?*
If adopting a cat, are you planning on declawing your new cat or kitten?*

YesNoMaybe
If yes, please explain:
Are your current cats declawed?*

YesNoN/A
Do you have a doggie door or plan to be installing one?*

YesNoMaybe
What parts of the house/yard would be kept off limits to your new pet?*
Over the past 5 years, how many pets have you owned? (Include current pets)*
List each individually including breed, age, spay/neuter, still living with you? *
If they are/were not spayed/neutered, please explain:
Have you ever lost or given away a pet?*

YesNo
If yes, please explain:
Are your present pets up-to-date on their annual vaccines?*

YesNoN/A
Are your current/previous pets on a monthly flea and/or heartworm preventative?*

YesNoN/A
Who is your current/most recent veterinarian? Please provide their NAME, CLINIC, and PHONE NUMBER:*

YesNoN/A
If you do not have current vet, do you agree to take your new pet to the vet within the first 2 weeks of adopting?*

YesNo
What plans do you have for your new pet when you are on vacation?*
If your pet displays behavioral problems (such as poor litter box habits/housetraining issues, inappropriate scratching, chewing, barking/meowing etc.) how would you go about correcting the behavior?*

Contact a ProfessionalUse a BookPersonal KnowledgeOther
If other, please explain:*
Under what circumstances would you return your adopted pet?*
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
How did you hear about AURAS Of La Rescue (Facebook, Adopt-A-Pet, Petfinder, family member, friend, etc)?*
If there is anything else you think we should know, please note it here.
Thank you for completing our application Once we have received your application, you will receive an email confirmation within 12-24 hours.
Thank you so much for wanting to save an animal and choosing our rescue!
By submitting this application... I certify that the information listed is true and I recognize that any misrepresentation of facts may result in losing the privilege to adopt the animal I am applying for. I understand that AURAS Of La Rescue has the right to deny my request to adopt any animal and I authorize investigation of all statements in this application. I understand that this application is the property of AURAS Of La Rescue.
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Animals Unlimited Rescues Adoptions and Shelters - AURAS Of Louisiana

Adoption Form

Thank you for completing our application Once we have received your application, you will receive an email confirmation within 12-24 hours.

Thank you so much for wanting to save an animal and choosing our rescue!