Chins n' Friends Adoption Application
Perspective Pet Parent
*
First Name
Last Name
Date of Birth
Email Address
*
Phone Number
*
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Address
*
Street Address
Street Address Line 2
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Do you rent or own your residence?
Yes
No
If you do not own, please provide landlord's name and contact information:
Your New Pet
I wish to adopt:
*
Care of exotics pets is generally more demanding than your common dog or cat house pet. Are you willing to take on this physical and financial responsibility? *
Are you aware of the lifespan of the animal you are applying to adopt? (Example: chinchillas can live into and beyond their teen years.)
Yes
No
Where will the animal live?
Inside
Outside
What type of vet care do you believe is appropriate? How often? *
What will happen to the animal if you move locally? Out of state? Overseas
How will the animal be cared for when you are out of town?
Under what circumstances would you consider not keeping the animal?
Please provide any information on how you will be caring for the animal. (Bedding, cage type, feed, accessories).
Feel free to upload photo(s) of cage setups using the ''Browse Files'' button below.
Browse Files
Cancel
of
Current Pets & Household
Please provide the following information for each animal currently living in your household: Animal type, name, age & sex, and spayed/neutered? *
Please describe the other people you live with (spouse/partner, relatives, roommates, children). Is anyone in your household allergic to hay, pet dander, etc?
Does anyone in your household smoke?
Yes
No
Only outside
By clicking the submit button, I agree to the Chins n' Friends adoption process.
By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Chins n' Friends Inc. and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet.
By clicking the submit button, I agree to indemnify and hold harmless Chins n' Friends Inc. against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that Chins n' Friends Inc. will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Chins n' Friends Inc. and provide transport to where Chins n' Friends Inc. deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.
Signature of Potential Pet Parent
*
Submit
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