Animal Ark Rescue of Texas Adoption Application
Name of the Pet
*
Applicant Details
Name
*
First Name
Last Name
Age
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (Mobile)
*
Phone Number (Work)
Phone Number (Home)
*
E-mail
*
example@example.com
I / We live in a
*
Single Family Home
Duplex / Twin
Condo / Townhome
Trailer
Apartment
Other
Do you have a fenced in yard?
*
Yes
No
How high is your fence?
*
Do you have other pets?
*
Yes
No
What are the names, species, breed, and intact/altered status of your pets?
*
Is your pet used to other pets?
Yes
No
Other
Where does the pet stay (be confined) while you are out?
*
What training do you do with your pets? If interested in a dog, do you believe in crate training?
*
What do you consider unacceptable behavior from a pet? What will you do if you have a pet showing this behavior?
*
Animal Ark is a medical rescue and many of our animals have medical issues that will become the responsibility of the adopter once the animal is adopted. What type of medical issues are you comfortable taking on?
*
Do you have a regular veterinarian?
*
Yes
No
Do you give permission for us to contact your veterinarian as a reference?
*
Yes
No
Veterinarian’s name
*
Clinic Name
*
Clinic's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Clinic's Telephone
*
Number of hours (average) pet(s) spends alone
*
Please add at least two references
*
Type a question
I confirm that all information supplied above is correct and accurate.
Signature
Submit
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