Cat & Kitten Guardianship Form

Date*

Date

Full Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What is your occupation?

How did you hear about us?*

Which dog or puppy are you interested in?*

What is your reason for wanting to adopt a dog?*

CompanionCompanion for petGuard Dog

Are you 18 years of age or older?*

YesNo

Do you own your own home?*

YesNo

What is your landlord's policy on pets and are there any restrictions?

Type of Dwelling:*

May we contact your landlord? If so, can we have their name and phone number:*

How long have you lived at this address?

Please provide the name, address, and phone number of your veterinarian so that we may call for a reference:*

Are there children in the home? If so, how many and what are their ages?*

Are all humans in your home aware that you are adopting a dog or puppy and is everyone in agreement?*

Will arrangements be made if you are traveling?

What will your dog or puppy do for potty breaks and exercise?

Who will be responsible for caring, training, exercising the dog or puppy?

How many hours a day will the dog or puppy be alone?

If adopting a dog or puppy, where would the dog or puppy be kept when alone?

Are any members of your household allergic to animals?*

YesNo

Please describe:

Over the past 5 years, how many pets have you owned? (Include current pets)*

Please list breed, age, if they're still living with you. (If not, why?)*

Have you ever lost or given away a pet?*

YesNo

If you currently own a dog or cat, how does he/she react to a new dog or puppy?

Are your present pets up to date on their annual vaccines?*

YesNoN/A

Please explain:

Are your present pets spayed or neutered?*

YesNoN/A

Please explain:

Were your previous pets spayed or neutered?

YesNoN/A

Please explain

If your dog or puppy displays behavioral problems (such as housebreaking accidents, jumping on humans etc.) how would you go about correcting the behavior?

Please describe your personal knowledge:

Are you prepared to commit to a pet for 8-15 years (average life span)?

YesNo

Where will your dog or puppy spend most of his/her time?

If there is anything else you think we should know, please note it here.

PLEASE READ:

To the best of my knowledge, all the information I've given is true and complete. I will comply with all rules and policies of JustCare Animal Rescue & Sanctuary. The choice to adopt a dog(s) or puppy(s) is mine.

By adopting a dog(s) or puppy(s), I release JustCare Animal Rescue & Sanctuary from any responsibility for damage, injury, or harm caused. JustCare Animal Rescue & Sanctuary, at its sole discretion, reserves the right to refuse any applicant for any reason.

In the event that you are unable to care for or keep your dog(s) or puppy(s), he/she should be returned to JustCare Animal Rescue and Sanctuary.

I will provide the animal with proper and adequate food, water, shelter, training, and affection. I will provide medical care, if needed, and as approved by the veterinarian. JustCare Animal Rescue & Sanctuary does not guarantee an animal's temperament, or behavior. JustCare Animal Rescue & Sanctuary, at its sole discretion, reserves the right to refuse any applicant for any reason.

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Dog & Puppy Guardianship Form