Adoption Application
Your Name:
Address
Address
Street Address Line 2
City
State / Province
Zip
Email:
example@example.com
Phone Number
Format: (000) 000-0000.
Occupation:
Spouse's Occupation:
Name of Animal you are interested in:
Dog or Cat:
Does anyone living in your home have any known allergies?
Yes No
Your type of dwelling:
House
Condo
Apartment
Townhouse
Your type of dwelling:
Own
Rent
Length of time at current residence?
Do you plan to move within the next 6‐12 months?
No
Yes
If you rent, are pets allowed?
Yes
No
What is the name of the property owner/ agent?
Contact name and phone number:
Why do you want to adopt at this time?
Companion for you / family / another pet
Guard Dog
Do all adults in your household know you plan to adopt?
Not Applicable
Yes
No
Do your current pets get along with other animals?
Yes
No
Other
Will this pet will be:
Indoor only
Mostly Indoor
Mostly Outdoor
Outdoor only
Where will your new pet sleep at night?
In what areas of the house will the dog/cat be allowed?
How many hours per day on average will the pet be alone?
0‐2
2‐4
4‐6
6‐8
8‐10
10‐12
over 12
Do you have a fenced yard?
Yes, wood
Yes, chain Link
No
Yes, vinyl
Other
Height of fence
Do you have a:
Balcony
Pool
Pet Door
Unscreened Windows
Will you ever have your dog on a tie out?
Yes
No
Other
Do you travel?
Yes No
Where do your pets stay if and when you travel?
PAST/PRESENT PET HISTORY
Please list the name, type, age, gender, and if pet is spayed or neutered of ALL current animals. (example: Duke, Yellow lab, 1 year old, male, neutered)
Are your animals current on all vaccinations?
No
Yes
Other
If adopting a CAT, do you plan to declaw?
How often do you think a dog/cat should go to the vet for routine care?
Name of current or last veterinarian? Name/phone number?
May we contact this vet as a reference?
Yes
No
Other
Which of the following situations would lead you to give away your pet?
Moving to another state
Fleas or sheds too much
Having a baby
Finished school/ moving back home
Ruins the furniture
Children will no longer care for dog
Too expensive
Allergies
Getting a divorce or married
Found a new “no pet” rental
Grew too big
Digging/ Chewing
Would not give up for any reason
Other
If you could not keep it for any of the reasons stated above do you agree to return animal to rescue?
Have you ever surrendered a pet to a shelter/pound?
Yes
No
If yes, why?
PLEASE PROVIDE TWO PERSONAL REFERENCES:
Name
First Name
Last Name
EMAIL:
example@example.com
Phone Number
Format: (000) 000-0000.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Is there anything else you would like to tell us that you think would be important when considering your application?
How did you hear about Sweethearts rescue Ranch?
Please read and sign below: Many factors determine which applicant will be matched with a particular pet. If you are not able to adopt a pet today, it does not mean that you are not considered a good pet owner or that your home is not acceptable. Our goal is to place all animals into homes that will best suit their individual needs. Please ask for clarification if you have any questions.
I have completed this application truthfully and fully understand the adoption process.
Signature:
Date:
/
Month
/
Day
Year
Date
THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION!
Submit
Should be Empty: