Adoption Application
Thank you for your interest in adopting a furry friend from The Xena Project NTX Corp! Please fill out the following application form to help us ensure that our rescue animals find loving and suitable forever homes. Your responses will assist us in understanding your lifestyle, preferences, and commitment to pet ownership. We appreciate your dedication to providing a loving home to one of our rescue animals. Thank you for supporting The Xena Project NTX Corp’s mission to save and rehome pets in need. Please check our website for the current list of adoption fees. All animals will be spayed/neutered, microchipped, and vaccinated before going to their new homes.
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Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Preferred Method of Contact
*
Email
Call
Text
No Preference
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
*
Let us know where you saw us first!
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Do you rent or own your home?
*
Rent
Own
If you rent, please include your landlord name and contact information. Otherwise enter NA.
*
Do you have children in your home?
*
Yes
No
Sometimes
Do you have other pets in your home? Select all that apply.
*
Dog(s)
Cat(s)
None
Other
List all of your current pets here:
Upload your pets current vaccine records if available
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Drag and drop files here
Choose a file
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Please use your current or previously used veterinarian. If you do not have one at this time put NA.
*
Describe your lifestyle and why you would like to adopt from us.
*
Is there a specific animal you are applying for today, please enter their name here? If not enter N/A
*
Please upload a copy of a valid ID
*
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Signature
Submit
Submit
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