Cat & Dog Adoption Application

Section One:

About You
Name *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / County

Postal / Zip Code
Date of Birth *

Month Day Year
Date

Section Two:

Household Information
Please indicate how many adults are in your household? (Over 18) *
Please indicate how many children are in your household? (Under 18) *
If there are children in your home, please list their ages below.
Are all members of your household in agreement to adopting a new pet? *

Yes No
What type of home do you currently live in? *
Please attach a current photo of your main, indoor, living space below. (Living room, family room, etc..) *

Cancel of
Do you own or rent your current residence? *

Own Rent
If you are renting, please provide your landlord's contact information below.
What is your backyard like? *
Please attach a current photo of your backyard below. *

Cancel of

Section Three:

Previous Pet Experience
Have you owned a pet before? *

Yes No
Have you ever had to relinquish a pet to a shelter or rescue in the past? *

Yes No
If yes, please provide details below.
Do you currently have any pets in your home? *

Yes No
If yes, please list the names of each animal in your home along with their age and breed.
If applying for a pitbull/pitbull mix dog, do you have previous breed experience? *

Yes No N/A

Section Four:

References
Veterinarian Name: *
Veterinarian Phone Number: *
Please enter a valid phone number.
Reference #1 Name: *
Reference #1 Phone Number: *
Please enter a valid phone number.
Reference #2 Name: *
Reference #2 Phone Number: *
Please enter a valid phone number.
Reference #3 Name: *
Reference #3 Phone Number: *
Please enter a valid phone number.

Section Five:

Adoption Contract
Every Pet Needs a Home obtained this animal as a rescue and particulars of the individual’s age, breed, medical history, potential size, prior training, etc., may be unknown and untraceable. Therefore, we cannot make any guarantees of any kind. We believe, that through professional evaluations and thorough examinations and diagnostics, that your new pet is in good health. Your new pet appears to be the breed listed and based on our experience with your new pet has the temperament and personality suitable for a family pet and companion if training and proper handling are provided by the adopter. The adopter can always contact us with questions regarding the animal’s health and behavior. All canine and feline adoptions are to be indoor pets only.

If your new pet is not the right fit for you and your household, with this contract, you are agreeing to return your new pet to us at any time after adoption. Even though we agree to take your pet back, this adoption is your commitment to make this placement work for your family and this new pet. Understand that your new pet may require a decompression period, training, medical care, and alterations to your home environment.
Cats and dogs require regular healthcare needs; heartworm, flea and tick prevention, vaccinations, deworming, etc. With this contract, you are agreeing to provide all medical, physical, mental, and emotional needs of your new pet.

Some of our adoptable animals may have previous or current health issues. You will be educated about the individual’s accessible medical history prior to adoption. You may need to give specific medications, foods, and/or supplements for the rest of this pet’s life. You will be responsible for the continued treatment and care of the individual pet.
Continue with this contract only if you are willing to make necessary changes to your environment and lifestyle to accommodate your life with a new pet.
I. I am at least 18 years of age, or am being accompanied by a parent or guardian.

II. If adopting a kitten or puppy, I agree to have the remainder of the vaccine series completed at the appropriate time.

III. I understand that if I do not provide the appropriate medical, behavioral, environmental, and emotional care to this animal, Every Pet Needs a Home reserves the right to reclaim the pet.

IV. I understand that suddenly switching foods can make my pet very ill. In order to switch my pet to a new food, I agree to gradually switch the food over the course of seven days.

V. After adopting my new pet, I understand that I am responsible for any medical care and veterinary expenses after adoption.

VI. Should I ever become unable or unwilling to continue to fulfill these promises, I shall notify Every Pet Needs a Home immediately.

VII. I understand that all adoption fees are nonrefundable unless it has been agreed upon prior to adoption by a board member of Every Pet Needs a Home.
My signature, below, certifies that I have read, understand, and agree to the policies and conditions outlined above, and that the information entered into this form is truthful and accurate, to the best of my knowledge. My signature further authorizes Every Pet Needs a Home to verify the information I have entered into this form, and to contact the references I have provided. *

Clear

Please select below which application fee applies to your application and submit your fee payment prior to submitting your application. This fee does not guarantee your application will be approved and does not go toward the pet's adoption fee. *

Cat & Kitten Adoption Application Fee

$ 5.00

Dog & Puppy Adoption Application Fee

$ 10.00

Enter coupon

Total

$ 0.00

Once your application is submitted we will begin processing within 24-48 hours of receipt. Once fully processed a member of our team will contact you with the next steps to meeting your new family member.
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