Adoption Application

All Humane Animal Rescue

Adoption/Foster Application
Thank you for choosing All Humane Animal Rescue. We try our best to get every application processed in a timely manner. If the animal is already adopted we will not process your application.
Name of pet you are interested in...
Full Name

First NameLast Name
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
E-mail
Do you rent or own a home?
If renting please list name and phone for your landlord
Other
How many people live with you?
Please provide the name, relation, and age of everyone that lives with you.
Is ANYONE in your household allergic to animals?

Other
Landlord Name
Landlord Phone

Area CodePhone Number
Vets Name (Please make sure you call them to have them release information to us)
Vets Phone

Area CodePhone Number
Please list all vets that have seen your pet(s) for the last 5 years. If different from applicant, please list name of person that account is under.

Please give us 4 personal references. We would like at least 1 that is related to you. No one that lives with you.

Please list all pets you currently have. (name, breed, age, sex, spayed/neutered?)Type "N/A" if none
What heartworm and flea prevention do you use?
Do you have a fenced in yard?
Have you ever given up a pet?
If yes, please explain...
Have you ever had a pet die unexpectedly?
If yes, please explain...
Where will your pet stay during the day?
Where will your pet stay at night?
Where will your pet stay when you are away/on vacation?
If you move/have to evacuate, what will you do with your pet?
Are you familiar with the leash/licensing laws in your community?
Are you aware that vet care includes monthly heartworm and flea prevention, yearly vaccinations, and other vet visits for routine care or injuries?
Why would you surrender your pet back to us?

Other
May we perform a home check to verify that your home is safe for one of our animals?
WHY do you think your family is a good fit for this animal?
Please tell us what a normal day would look like for this animal if you were to adopt them.
Please type your name acknowledging that your answers here are true to the best of your knowledge and click submit below. Someone will contact you soon about your application. This in no way is a contract for adoption/fostering.
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All Humane Animal Rescue