Adoption Request

Name

First NameLast Name

Address where animal will reside

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Today's Date

Date

Phone Number

Please enter a valid phone number.

Email

example@example.com

What Animal are you looking to adopt?

Please list the specific animal you are looking for as we get a variety and even help other rescues with rehoming.

Prefered sex of animal(s) looking to adopt.

We do not promote breeding irresponsibly. If breeding is the intention of adopting you will need to request a breeders aproval application.

How experienced are you with this animal?

Don't worry even if its your first time we can find you the perfect match.

Are there other animals in your home already?

Are there children in your home?

Please make sure they know how to properly handle and care for the animal.

Date Ready to Adopt

This is an on or after date

Please List at least 2 references

Name & Phone number

Have you ever been charged with a crime against an animal?

NoYes, convicted.Yes, not convicted.

Please know that Remedies does not allow breeding of any adopted animal unless breeding rights have been purchased and a seperate contract has been signed. There is a seperate fee for breeding rights.

By signing this you are agreeing you are responsible to make sure no accidental breeding occurs. In the event you do not fullfill your responisblity Remedies has the right to come and confiscate all animals adopted as well as any offspring. Refusal to surreneder will result in legal action being taken.

You agree to love and care for this animal for the remainder of its natural life. You will provide all food, supplies, proper caging, vet care, and any other necessary care. If for some reason you are unable to keep your animal you will be required to contact Remedies to request surreneder to them first. Remedies does not offer refunds for unwanted animals. We do how ever work with several other rescues incase we do not have the available spacing, we will do our best to find them a new home. You may be required to pay a surrender fee and will be required to at the very minimum supply cages for surrendered animals.

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