Pet Adoption Application Form

Name of Pet You Wish to Adopt*

Name of Adopter*

First NameLast Name

Email Address*

Phone Number*

Zip codePhone number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

What is your age?*

Do you own or rent your home?*

OwnRent

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

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

Employer*

Name, age and breed of CURRENT household pets*

In the past 5 years, how many pets have you owned? If no longer with you, please explain why*

Do you plan on moving in the next 6 months? If yes, what are your plans for your pets?*

Have you ever adopted/ tried to adopt from a rescue/shelter? If yes, which one?*

Have you ever surrendered a pet you own to any animal shelter?*

YesNo

If you answered "Yes" to the above question, please provide detail:

Please answer the following questions under FELINE if you wish to adopt a cat, or scroll down to CANINE if you wish to adopt a dog.

Feline

Please select what age range you are interested in

If interested in a kitten and you have no current pets, would you consider adopting a friend for that kitten?

Why are you interested in adopting a cat?

Do you plan to let this cat outdoors?

Do you plan to declaw this cat?

How do you plan on acclimating the cat to its new home?

What type of solution would you try if housebreaking accidents occurred after the first 3 weeks?

Canine

Why do you want to adopt a dog?

Do you have a fenced in yard?

YesNoPartially

Do you use an electric fence system? ex. wireless or underground

YesNo

How do you plan to take this dog outside?

How do you plan to exercise this dog?

How many hours per day would the dog be alone?

Do you plan on using a crate?

Where will this dog sleep at night?

What type of method will you use to potty train this dog?

What type of training methods will you use to obtain desired behaviors?

Are you aware it may take up to 3 months for a dog to settle into a new home?

YesNo

How will you handle destructive/unwanted behaviors during the adjustment period?

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

Are you willing to allow What's One Moore Animal Rescue to visit your home prior to adoption?

YesNo

Please provide the following information:

What is the name of your current vet? Please provide contact information:*

If you do not have an established vet, where would take your pet?*

Are all your current pets up to date on rabies vaccination? If no, please explain:*

Are all your current pets spayed or neutered? If no, please explain:*

Are you able to afford the adoption fee of the associated animal?*

By clicking the submit button, I agree to What's One Moore's adoption process.
By clicking the submit button, I understand What's One Moore will check my veterinary reference.
By clicking the submit button, I understand there is an adoption fee associated with adoption of a pet from What's One Moore and I understand this fee will ensure the organization is equipped to rescue another homeless pet.
By clicking the submit button, I understand that if I no longer want or can no longer care for my adopted pet, I agree to notify What's One Moore BY EMAIL and I understand that What's One Moore has first refusal to take pet back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless What's One Moore 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 What's One Moore 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 What's One Moore may periodally check in on pet via email, phone call, text or home visit.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent*