Pet Adoption Application Form

Adoption Questionnaire

Prospective Pet Parent*

First NameLast Name

Birthdate*

Date

I would like to adopt a*

DogCat

Description of the Type of Dog/Cat You Wish to Adopt, if you wish to foster please write "Foster”*

Your Email Address*

Your Phone Number*

Area CodePhone Number

Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you currently own any pets? Please describe*

Please upload 1 current photo of each current pet in your home. *

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Have you ever owned a pet before?*

Are your current animals up to date on vaccinations and spayed/neutered?*

Please provide your veterinarian's name and phone number:*

Do you own or rent your home?*

OwnRent

Do you have a yard?*

YesNo

If "Yes" to the above, is it fenced? Please describe plans of containment if not fenced.*

Please upload a current photo of your yard. *

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If you rent, what is your landlord's pet policy?*

If you rent, please provide your landlord's information here:*

Are there children in the home? (If yes, please list ages)*

Are you currently employed?*

Have you ever had to rehome a pet of your own? If so, what were the circumstances that led you to making that decision?:*

How many hours per day would the pet be alone and what are your plans of containing the animal while you are not home?*

Where will the animal sleep at night?*

If you have to leave town, emergently or planned, where would your pet stay?*

Please provide the names, emails, and contact numbers for 3 personal references:*

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:*

Do you agree to surrender this animal back to The Stray Sanctuary if any unforseen circumstances arise where you can no longer care for it?*

Do you agree to provide proof of spay or neuter within 6 months of adoption?*

By clicking the submit button, I agree to The Stray Sanctuary's adoption process, will undergo a homecheck, and interview. By clicking the submit button, I understand my references including veterinary and personal will be checked.. By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet. I understand this donation will ensure the organization is equipped to rescue another homeless pet. By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify The Stray Sanctuary BY EMAIL and provide a 14 day period to allow The Stray Sanctuary to make arrangents for my pet to be taken back into rescue. By clicking the submit button, I agree to indemnify and hold harmless against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed. By clicking the submit button, I understand The Stray Sanctuary will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed. By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to The Stray Sanctuary and provide transport to where The Stray Sanctuary deems appropriate. By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent*