Adoption Application, Contract, and Waiver

Sung Village

Nonprofit Animal Rescue SungVillage@gmail.com EIN #92-1285550
Adoption Application Contract & Waiver
Perspective Pet Parent*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Pet You Wish to Adopt*
Do you have experience with this breed? What will you be feeding this pet? How will you meet their health and enrichment needs?
Do you own any pets?*
Pet Name(s)
Pet Breed(s)
Pet's disposition and behavior
Please provide your veterinarian's name and phone number:
Do you own or rent your home?*

OwnRent
Do you have a yard?*

YesNo
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 or given a pet you owned to a shelter, rescue, or another person?*

YesNo
If you answered "Yes" to the above question, please provide detail:
Are there children in the home? (If yes, please list ages)*
How many hours per day would the pet be alone?*
Will you crate your pet?*
If you have to leave town, emergently or planned, where would your pet stay?*
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo
If you answered "Yes" please provide a detailed description:
By signing, I verify that all of the above information is true and accurate. By signing, I agree to all adoption contract waivers and agreements above.

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Sung Village

Adoption Application Contract & Waiver