Animal Adoption Application
Mizfit Muttz Rescue
Reno, NV 89506
***Completion of this application does not guarantee adoption of a Mizfit Muttz Rescue animal***
Name/type of dog you are interested in
*
Name of applicant
*
Occupation
Name of Spouse/Significant Other
Occupation
Names and ages of children, if any
Street Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home/Cell Phone
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Email
example@example.com
Emergency Contact
Best # to reach
Format: (000) 000-0000.
Do you live in a
House
Apartment
Condo
Townhouse
Other
Do you Own/Rent
*
Own
Rent
If you rent, do you have the landlord's permission to have a pet?
Yes
No
Will your pet be kept
Indoors
Outdoors
Both
Other (Explain)
How many hours will the pet be left at home without humans?
Where will the pet be kept when left alone?
Where will the pet sleep at night?
Is your yard fenced?
Do you have other pets in the home? List type, sex, age and if spayed/neutered.
*
If so, type and height
Are you willing to work with a dog that is not housebroken?
Yes
No
Are you willing to crate train?
Yes
No
Back
Next
Veterinarian Name
Phone
Format: (000) 000-0000.
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference #1 Name
First Name
Last Name
Phone
Format: (000) 000-0000.
Reference #1 Name
First Name
Last Name
Phone
Format: (000) 000-0000.
Anything else we should know?
Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preview PDF
Submit
Should be Empty: