Adoption Form
Storm Haven Animal Rescue is committed to providing a safe haven to animals in need, with a mission of helping those without a voice.
This application is used to determine a potential match between adopter and adopted animal. Storm haven reserves the right to refuse adoption at their discretion.
Name of Animal you are interested in adopting.
*
Are you aware that there will be an adoption fee associated with the animal you are applying to adopt?
*
Yes
No
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Applicant's Full Name
*
First Name
Last Name
Co-Applicants Full Name
First Name
Last Name
Applicants Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applican's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Applicants Email
*
example@example.com
Applicants Employer
Character Reference
Character Reference Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Character Reference Email
example@example.com
Vet Reference
Vet Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Vet Email
example@example.com
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Are all members of your household in agreement with this adoption?
Yes
No
Not Applicable
How many children under the age of 18 live in the home?
Does anyone in the home have allergies to fur or dander?
Who will be the adopted animals primary caregiver?
*
Where will the adopted animal live?
*
House
Barn
Outside
Other
Do you own or rent?
Own
Rent
If you rent, please provide your landlords name and contact information.
Landlords Email
example@example.com
Landlords Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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List animals you have owned in the past ten years, and their ages and where they are now (if applicable)
Have you ever surrendered or rehomed an animal
*
Yes
No
If yes, under what circumstances?
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What characteristics are you looking for in an adopted animal? (age, calm, energetic, protective, etc.)
What method(s) of training are you familiar with and what will you use?
Have you ever worked with a trainer to assist in behaviour issues with animals?
Yes
No
Not Applicable
Have you ever worked with an animal with behavioural issues in the past? What was your method/timeline to improve?
How many hours each day will your new animal be alone?
Where will the animal spend the nights?
Who will care for the animal when you are not available or on vacation?
How long of a commitment can you make to this adopted animal?
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If under any circumstance you were unable to keep the adopted animal, you agree to return the animal to Storm Haven Animal Rescue and not rehome the animal to anyone else.
Yes
No
Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Signature
Submit
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