Pet Rescue Adoption Application Form
PLEASE READ; Adopters must be at least 18 years of age We DO NOT adopt pets as gifts. We ask that each pet is given a minimum of 3 weeks period to adjust. Some pets may require a longer adjustment period. All pets in the home MUST be up to date on veterinarian care and vaccines. Adoption Fees must be paid when approved, Fees are non refundable! All adoptions come with any records,dewormed, food/treats and toys! *** MUST BE ABLE TO comply with weekly check ins w/pictures for the first 6 weeks of being adopted…I am available 24/7 by text/calls for any questions or medical needs for our animals! 706-575-6037
Name of the Pet that you are interested in
*
Applicant Details
Name
*
First Name
Last Name
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.
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? Choose other if adopting an inside pet.
*
Yes
No
Other
How high is your fence?
*
Not required for inside/exotic pets
Do you have another pet?
*
Yes
No
Is your pet male or female?
*
Male
Female
Is your pet used to other pets?
Yes
No
Other
Where does the pet stay (be confined) while you are out?
*
How do you discipline your pets and why? (describe)
*
Do you have a regular veterinarian?
*
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
*
Format: (000) 000-0000.
Please add at least two references
*
Number of hours (average) pet(s) spends alone
*
I confirm that all information supplied above is correct and accurate.
Signature
Do you comply with weekly check-ins by text with pictures for the first six weeks of adoption?
Yes
No
Other
Submit
Submit
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