Adoption Form
Adopter Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Name of Pet Applying For
Date of birth of person applying:
*
-
Month
-
Day
Year
Date
Type of pets you currently own
Dog(s)
Cat(s)
Rabbit(s)
Bird(s)
Small Animals (ex. Hamsters, Gerbils, Ferrets, etc)
Farm Animals
Other
I don't own any pets at this time.
Please describe the temperament and activity level your ideal pet
Excited
Active
Mellow
Affectionate
Independent
Shy
Playful
I need a pet that will tolerate being alone ______ hours a day.
0-2 hours
2-5 hours
5-8 hours
8+ hours
I prefer a pet that:
Will enjoy living indoors
Will enjoy being outside while I'm with him/her
Will come and go independently
Will enjoy living in a barn
Do you have a fenced in yard?
Yes
No
What type of fence do you have?
Wood
Chainlink
Vinyl
N/A
Please give reference of any two people whom you feel would be good character references:
Full Name
Address
Contact Number
1
2
Spay/Neuter Requirement: If this pet has not been sterilized prior to this agreement, you agree to Spay or Neuter within 6 months of adoption. Please email us to arrange sterilization. You understand that this adoption is not final until the spay or neuter is complete. If sterilization is not complete within this timeframe, we reserve the right to remove the animal from your care.
I agree
I disagree
Return Policy: If Adopter decides to not keep the pet Adopter hereby agrees to return the Adopted to the Rescue within 14 days. Adopter agrees to give the Rescue 30 days to secure a foster home and will provide safe and loving care of the pet until it is returned.
I agree
I disagree
Adoption Fee: Adoption fees are non-refundable, the fees associated with the adoptions are in consideration with the vaccinations, sterilizations, and microchipping that each particular pet has or has not had. You will be made aware of the vaccinations and surgical procedures the "adoptee" pet has had. Any vaccines due after the adoption are the responsibility of the Adopter. The adoption is not considered finalized until the full adoption fee has been paid in full.
I agree
I disagree
By signing I agree to the terms in this application and attest that the information I have provided is true and correct to the best of my knowledge.
Continue
Continue
Should be Empty: