Angels 4 Dogs & Cats Adoption Application

ADOPTION APPLICATION
Email
example@example.com
This application is for a (please select all that apply)*

DogCat
Name(s) of the animal(s) you are interested in:*
Where did you hear about us?*

Adoption EventWebsiteInstagramFacebookWord of MouthOther
Your full name *
first , middle initial, last
Your age*
Full name of your spouse / partner (if applicable)*
Your residence address *
street / city / state / zip code
Your home phone number*
Your cell phone number*
Your occupation + work schedule *
Your spouse's occupation + work schedule (if applicable) *
All persons living in your household, their relationship to you, and their ages*
Does EVERYONE in your household agree to adopt a pet?*

YesNo
Name of a personal reference*
first / last
Their relationship to you*
Their phone number*
Type of dwelling*

HouseCondominiumApartmentMilitaryOther
Do you...

OwnRent
If living in a condo, what are the association's rules about having pets?*
If renting, do you have your landlord's permission to have a pet?*

YesNo
Your landlord's name*
first / last
Landlord's phone number*
Would you object to an inspection of your home by a rescue volunteer?*

YesNo
Breed + age of any current pets you have (please list all)*
Are all pets spayed / neutered?*

YesNo
Please describe any pets you may have in addition to the above*
Have any of your dogs or cats delivered puppies or kittens for purposes of breeding?*

YesNoN/A
If "yes" , you bred for the following reasons (select all that apply)*

PleaseProfitShowOther
Your veterinarian's name*
first / last
Veterinarian's phone number*
Do you have the financial means to spend hundreds of dollars on veterinary care, should the need arise?*

YesNo
We would like to know about your prior history of pet guardianship and care. Please begin with the following question: Have you ever had a pet in the past?*

YesNo
If "Yes" above, please indicate the breed of your most recent former pet*
Period of time that you had this pet*
Why you no longer have this pet*
Please tell us about any other former pets you've had; indicate their breeds, the period of time that you had them, and why you no longer have them*
What is your PRIMARY reason for adopting at this time?*

Companion for meCompanion for my childrenCompanion for my dog / catCompanion for my entire familyTo give as a giftOther
Who would be responsible for your pet's care?*
When you are at home, your pet will be...*

Always indoorsMostly indoorsAlways outdoorsMostly outdoors
If your pet will be outside at all, what outside space is available? (please select all that apply)*

Fenced yardUnfenced yardKennel / dog runOther
Where would your pet be kept if he or she is alone, or when you're away from home?*

IndoorsOutdoors
If outdoors, please indicate where*

YardPatioKennel / dog runGarageOther
How many hours a day will your pet be left alone?
Where will your pet sleep*

IndoorsOutdoors
Please describe your new pet's sleeping quarters, whether indoors or outdoors*
Do you have a dog door or cat door?*

YesNo
Is your residence fenced?*

YesNo
Would you use a pet-sitter or pet daycare center?*

YesNo
How do you plan to handle your pet's exercise needs?*
If you travel, how do you intend to provide for your pet while you're away from home?*
If your pet ever becomes destructive to your home, what would you do?*
Any "musts" for your new pet?*
What provisions would you make for your pet if you had to move to a place where no pets are allowed?*
If you're applying to adopt a dog, do you feel that obedience training would make your dog a better companion*

YesNoN/A
If the need arises, would you enroll yourself and your dog in obedience classes at your expense?*

YesNoN/A
Under what circumstances would you NOT keep your pet (please select all that apply)*

DivorceDog gets too bigVeterinary expensesBitingFamily illnessKids ignore the petPet not obedientBarkingMovingPets don't get alongHouse training issuesDiggingNew babyAllergiesSheddingNew jobMedical expensesChewingNone (would keep the pet)
If applying to adopt a dog, what would you do if your new dog grew to be bigger than you expected?*

Return to us (angels for dogs and cats)Take to a shelterTake to a dog poundGive the dog awayKeep the dogN/A
A dog may live 15 years or even long; a cat, 20 years or more. What provisions would you make if you could no longer care for your dog or cat?*
Is there anything else you would like to tell us about yourself or your home environment?*
Has any member of your household, including yourself, been investigated, arrested, charged, or convicted on ground of animal abuse or neglect?*

YesNo
I understand that this is an application only and that Angels for Dogs and Cats Rescue retains the sole discretion, with or without cause, to accept or decline this application*

YesNo
I understand that there is a fee associated with the adoption process to cover expenses incurred by Angels for Dogs and Cats Rescue*

YesNo
I understand and affirm that (1) All information I have provided on this application is true and correct; (2) Any false or misleading information submitted herein may be grounds for denying this application, and even recovering the animal(s) if necessary, at the sole discretion of Angels for Dogs and Cats Rescue; (3) If I am approved to adopt the animal(s) applied for, I will be required to sign and date a transcript of my application to certify my understanding of, and complete agreement to, the terms and conditions put forth in this document*

YesNo
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ADOPTION APPLICATION