Application

Adoption Application
Prospective Pet Parent*

First NameLast Name
Name of Pet You Wish to Adopt*
Email Address*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you own any pets?*
Pet Name(s)/Species/breed/Age
Are your current pets spayed/neutered?
Pet's disposition and behavior towards other dogs?
Please provide your veterinarian's name and phone number: If you do not have one, would you like reccomendations?
Do you own or rent your home?*

OwnRent
Do you have a yard?*

YesNo
If "Yes" to the above, is it fenced? please describe
What is your landlord's pet policy?*
If you rent, please provide your landlord's information here:*
Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?*

YesNo
Have you ever rehomed a pet due to a move or unforeseen circumstances? If yes, explain.
Are there children in the home? (If yes, please list ages)*
If you answered "Yes" to the above question, please provide detail:
How many hours per day would the pet be alone?*
Will you crate your pet?*
If you have to leave town, emergently or planned, where would your pet stay?*
How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*
Please provide the names and contact numbers for 3 personal references (and their relationship to you) outside your immediate family :*
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo
If you answered "Yes" please provide a detailed description:
At what age do you feel children are responsible enough to take care of a pet without assistance?
Do you plan to move soon?
If you move, what will you do with your pet?
What will you do with your pet while you’re at work?
Where will your animal spend most of his/her day when you are home?
Where will the animal stay when he/she is home alone? Indoor/outdoor (doggy door) Inside only, crate, run of the house? Please specify
Where will the animal sleep at night?
Which of the following is used to secure your gate?

Padlocklatchothernothing
We do not lock our gate for the following reason..
How would you describe your animal owning experience? Specifically related to the type of animal you are applying to adopt.
How do you feel your current pets will adjust to a new animal in the house?
If there are children in the house, please describe their experience with animals
Why do you want to adopt?
If you are applying to adopt a dog; Share your reasons for wanting a dog. Click all that apply

ProtectionGuard dogGift for someone elseFamily petCompanion for another petChild's companionPersonal companion
How will you exercise your dog?
How often?
What type of training are you interested in doing with your dog?
Have you or would you be willing to enroll your current dog in obedience training?
What method do you intend to use to housetrain your dog? Check all that apply

crate trainingRub nose in offending spotConsult professionalTake out every couple hours
Feeding the proper diet is key to your animal's health. What will you feed your dog? Specify brand if known
Would you like food recommendations?
Have you ever raised a puppy?
Pets are an investment of your time and money. Are you prepared to provide medical care for your pet?
Are you able to make a long term commitment to care for your pet for it's entire life span, Which could be as long as 15+ years?
What is your monthly budget for your dog?

25.0050.00100 or moreWhatever is necessary
Which of the following reasons might force you to rehome your dog? Check all that apply

destructive chewingaggressive on leashexcessive barking/neighbor complaintsallergiesdivorce/ separationdiggingbiting aggressionmoving/relocatingpoor watchdognot trainableshedding/dirtygrowling/nipping at guestsfinancial problemshouse-training problemsnips/bites at childrenhaving a babyexcessive vet bills/chronic illnesspets aren't getting alongnew spouse/partner doesn't like dogsnone of the above
Additional comments about why you would like to adopt a dog;
Anything else you'd like to share?
By clicking the submit button, I agree to Serenity Acres Animal Rescue adoption process, will undergo a homecheck, and interview at the discretion of SAAR.

I understand that a home visit does not guarantee placement
I agree to provide my own collar, leash and a personal ID tag at the time of completing the adoption Contract.
I understand that any donation or contribution is a gift freely gien, not a purchase price for an animal. We reserve the right to refuse adoption to any application for any reason. This questionaire becomes part of the contract if application is approved.
I understand the adoption fee is $200.00.
Signature

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