Rescue Adoption Application Form
SHEBAS
Name/Description of dog you are interested in.
*
Applicant Details
Name
*
First Name
Last Name
E-mail
*
Confirmation Email
example@example.com
Age
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (Mobile)
*
Format: (000) 000-0000.
Phone Number (Work)
*
Format: (000) 000-0000.
Phone Number (Home)
*
Format: (000) 000-0000.
Employer Name/Address/Phone:
*
Residence:
*
Single Family Home
Duplex / Twin
Condo / Townhome
Trailer
Apartment
Other
Fenced Yard?
*
Yes
No
Ages of Children in Your Home:
*
Veterinarian Name
*
Provide previous veterinarian if no current vet
Veterinarian Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Veterinarian Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other In Home Pets: NAME/AGE/BREED
*
TERMS AND CONDITIONS
*
I understand that this application does not guarantee adoption of any pet from Shebas, and that my application must be approved. I further understand that I must have a verifiable veterinarian reference to adopt from Shebas.
I understand all dogs adopted from Shebas must be spayed or neutered.
I understand that Shebas reserves the right to deny my application for any reason. I understand that, if approved, this application converts into a legally binding and enforceable contract between myself and Shebas.
I agree that Shebas cannot guarantee the health or mentality of any pet, and while every effort is made to determine all pets are mentally sound and free from any health conditions, Shebas cannot be held liable for any damage or injury caused by a pet I adopt, nor for any illness, injury or death the pet suffers after I take possession of the pet. All expenses related to the pet become my sole responsibility once the pet leaves the care of Shebas. I also understand that Shebas makes every effort to accurately identify breed but that in most cases of mixed breed dogs without a DNA test, it is impossible to know an exact breed makeup. I agree to hold Shebas harmless should a dog I adopt turn out to be a different breed than originally identified.
I understand that should I become unwilling or unable to continue to care for any pet adopted from Shebas at any point in it's life I will return the pet to Shebas if I am unable to responsibly re-home the dog.
I understand there is no fee to adopt from Shebas. I also understand that should I choose to make a donation to Shebas to help continue their mission, whether or not I adopt from Shebas, any donation I make is non refundable.
I have read, understand and agree to all of the listed terms and conditions.
Submit
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