Adoption Application, Contract and Waiver
Perspective Pet Parent
*
First Name
Last Name
Name of Pet You Wish to Adopt
*
Email Address
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
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Postal / Zip Code
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Do you own any pets?
*
Pet Name(s)
Pet Breed(s)
Pet's disposition and behavior towards other animals?
Please provide your veterinarian's name and phone number:
*
Do you own or rent your home?
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Own
Rent
Do you have a yard?
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Yes
No
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 owned to another person, shelter, or rescue?
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Yes
No
If yes to the above, please describe the circumstances:
Are there children in the home?
*
If you answered "Yes" to the above question, what are their ages:
How many hours per day would the pet be alone?
*
Will you crate your pet?
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If you have to leave town, emergently or planned, where would your pet stay?
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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, relationship and phone 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?
*
Yes
No
If you answered "Yes" please provide a detailed description:
By clicking the submit button, I agree to Saving Saluda Strays adoption process, will undergo a homecheck, and interview at the discretion of Saving Saluda Strays.
By clicking the submit button, I understand Saving Saluda Strays will check my references including veterinary and personal.
By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Saving Saluda Strays. 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 Saving Saluda Strays BY EMAIL and provide a 14 day period to allow Saving Saluda Strays to make arrangents for my pet to be taken back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless Saving Saluda Strays 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 that Saving Saluda Strays 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 Saving Saluda Strays and provide transport to where Saving Saluda Strays deems appropriate. I will not rehome, sell, or surrender my pet to any other personal, organization or entity without express permission from Saving Saluda Strays.
By clicking the submit button, I verify all of the above information is true and accurate.
Signature of Potential Pet Parent
*
I would like to make a donation to Saving Saluda Strays.
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