Wings and things rescue and rehab inc
Holland MI
Adoption Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (Mobile)
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Do you own or rent?
*
Own
Rent
Do you have a fenced in yard?
*
Yes
No
Are there any children in the home? (If yes, please list ages)
*
Yes
No
Will you crate your pet?
*
Yes
No
How many hours of the day will the pet be alone at home?
*
If you have to leave town, emergent or planned, where will your pet stay?
*
How will you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, or unruly leash behavior in your pet?
*
Do you own any other pets? If yes, how many and what species
*
What is the species of your pet?
*
What is your pets disposition and behavior toward other animals?
*
Is your pet male or female?
*
Yes
No
Is your pet spayed / neutered?
*
Yes
No
Please provide three references including name and phone number.
*
Is your pet used to other pets?
Yes
No
Other
Do you have a regular veterinarian?
*
Yes
No
Veterinarian’s name
*
Clinic's Telephone
*
-
Area Code
Phone Number
Have you ever been convicted of an animal related crime, such as animal cruelty, animal theft, and or animal abandonment? (If yes please explain in detail)
*
*
By clicking the submit button, I agree to wings and things Rescue and rehab inc adoption process, will undergo a homecheck, and interview at the discretion of wings and things Rescue and rehab. By clicking the submit button, I understand wings and things Rescue and rehab inc will check my references including veterinary and personal. By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from wings and things rescue and rehab and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet and therefore, adoption donations and deposits are non refundable. By clicking the submit button, I agree to indemnify and hold harmless wings and things rescue and rehab inc. against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed. By clicking the submit button, I understand that wings and things rescue and rehab, will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed. By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet at any time, I will be directed to surrender my pet back to wings and things rescue and rehab inc. and provide transport to where wings and things rescue and rehab inc. deems appropriate. By clicking the submit button, I verify all of the above information is true and accurate.
Signature of Potential Pet Parent
*
Submit
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