Adoption/Foster Application
What pet are you inquiring about?
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Are you interested in adopting or fostering?
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Name
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First Name
Last Name
Cell Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Co-Applicant
Co-Applicant Cell Number
Please enter a valid phone number.
Format: (000) 000-0000.
Co-Applicant Email
example@example.com
Co-Applicant Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age of self and all other persons living in the home; (please list and notate any persons who regulary visit the home).
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Are all family members in agreement with getting a pet? If not, please explain.
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Who is the pet primarily for? (adult, child, elderly)
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Who will primarily care for, train and excercise the pet?
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Please list all pets currently in your home. Include the following: pet names, age, sex, species and if the pet is spayed or neutered.
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Please list all pets you have owned in the past ten years. Include the following: pet names, age, sex and if the pet is/was spayed or neutered. If deceased what was their age and cause of death.
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Does anyone in your household have allergies? If yes, what are allergens?
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Do you own or rent? If renting please provide your landlord's name and phone number.
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Owners: We must verify ownership of your home with the assessors office. Renters: We must receive landlord's approval. Please provide name and number.
How long have you lived at your current address?
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May we visit your home prior to application approval?
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Please tell us why you want to adopt a pet.
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Please tell us a little about your lifestyle, your family, including any special activities in which your dog or cat would be included.
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Please list your current veterinarian (include address and phone). If you do not currently have a veterinarian please list your previous vet.
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What heartworm preventative do you use?
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Why are you interested in this particular animal? Please specify.
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Will this pet be allowed in the home?
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How long will the pet be alone (without humans) each day
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Where will the pet stay when you are away from the house?
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Is your yard fenced? If so what type of fence is it (vinyl, chain link, wood etc.) and what is the height of fence?
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If you currently have cats, are they declawed?
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Do you plan on declawing a cat you adopt?
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Are you aware that the routine costs of maintaining a dog/cat average $1200.00 a year?
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Have you ever sold, given away or surrendered a pet to the shelter? If yes, please specify why.
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When you move or evacuate due to a hurricane what will you do with your pets?
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Do you understand the state and local ordinances concerning licensing and leashing?
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Have you or any member of your immediate family/household been cited for leash law violations or cruelty to animals in the past? If yes, please specify.
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Please tell us where you saw the animal you are inquiring about posted.
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Applicant Signature
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Date
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Month
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Day
Year
Date
Co-Applicant Signature
Date
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Month
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Day
Year
Date
I authorize my vet to release my pet's medical information.
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YES
NO
Submit
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