Dreamer's Rescue Adoption Application
Adoption Information
Who are you interested in adopting?
Preferred gender:
Male
Female
Doesn't matter
Desired age:
Less than a year
Young adult
Adult
Senior
Would you adopt a special needs animal?
Yes
No
Depends on the situation
Personal Information
Name
First Name
Last Name
Age
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you lived here?
Do you rent?
Yes
No
If you rent, are pets allowed?
Are you planning to move in the future? If so, what city and state? Will you take your animals?
Would you move to a place that doesn't allow pets?
Are you willing to allow a home check to ensure a safe home for an animal to live in?
Please list the residents in the house and their age:
if applicable, What is you option on a kitten that doesn't turn out to be a lap cat?
Do you have a yard?
Would you let your pet outside?
Is your yard fenced in? How tall is the fence?
Background
Who are you adopting for?
Are you aware pets are a lifelong commitment and can live 16+ years?
How many hours a day will your per be alone?
Is anyone residing in your home allergic to animals?
Vet reference, please provide: name of office, name of vet, address, and phone number
When will you be ready to adopt this animal?
Have you discussed the adoption with the other household residents?
If you have children, will they be gentle and kind with the animal?
What do you expect to pay at an annual vet visit?
What is the most you would spend at a vet if an emergency is to occur?
Please life 3 personal references. Please include name, phone number, and your relationship to the person.
Pet History
If you had pets, please life them below. If so where are these pets now?
Have you ever given a pet up for adoption? If so, please explain why.
Is there anything else you like us to know or you would like to share with us?
Submit
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