Making Miracles Animal Rescue

Making Miracles Animal Rescue
Thank you for your interest in one of our foster pets! In order to find the best possible homes for our animals, we ask that you meet these minimum requirements. Filling out an application does not mean an automatic adoption. If you have any questions or concerns, please ask a volunteer at an adoption event or send an email. Our email contact is rescueme93@yahoo.com.
Application Must Be Filled Out Completely To Be Considered

Requirements:

1. Be at least 21 years old with a valid ID containing current address.

2. Pay an adoption fee-please check Petfinder writeup. ($50 refund with proof of spay/neuter if pet is not altered prior to adoption).

3. Have consent of adoption from all adults living in the household.

4. Be able to make a lifetime commitment to the new pet.
Pet Information
Date

MonthDayYear
Adoptable Pet Name*
Breed & Color
Adopter Information
Name

First NameLast Name
Spouse/Partner's Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone

Area CodePhone Number
E-mail
Employer
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Phone

Area CodePhone Number
Other Phone

Area CodePhone Number
Emergency Contact

Area CodePhone Number
...
Are you over 21 years of age?

YesNo
Age
Please list the number of adults and ages that live in your household
Please list the number of children and ages that live in your household.
Besides immediate family, are there others residing in your home?
Are you expecting a child or planning a family?

YesNo
Are other members of your household in agreement with the adoption?

YesNot sureNoHave not discussed
Who are you adopting the pet for?

YourselfSomeone else
If someone else, please explain
What is the reason for adopting this pet. Check all that apply.

CompanionshipHuntingAnimal loverTeach my children responsibilityTo breedCould not resistFavorite breedFavorite colorFelt sorry for petA giftSpecial occasion
Have you ever adopted/fostered a pet for a rescue league, humane society, animal shelter, or pound, etc. previously?

YesNo
If Yes, name and approximate date
Veterinary Care Information
Can you afford regular veterinary care for the new pet which can average between $200-$400 yearly?

YesNo
Can you afford emergency care if pet requires?

YesNo
Up to what amount would you be willing to spend?
Do you agree to have annual checkups and all vaccinations administered by a licensed veterinarian?

YesNo
Regular Vet Information
Veterinarian's Name
Phone Number

Area CodePhone Number
Pet Information

Please list all pets that have lived in your home in the past 5 years.
Pet's Name
Species
Age
Gender

MaleFemale
Spay/Neuter

YesNo
Current on vaccines?

YesNo
Where is pet now?
Pet's Name
Species
Age
Gender

MaleFemale
Spay/Neuter

YesNo
Current on vaccines?

YesNo
Where is pet now?
Pet's Name
Species
Age
Gender

MaleFemale
Spay/Neuter

YesNo
Current on vaccines?

YesNo
Where is pet now?
...
If you have a pet in your residence now, have you ever introduced the pet to a new pet?

YesNo
If Yes, how did your pet react.

FavorablyDifficult AdjustmentIndifferent
Housing
Will anyone be home for the new pet?

YesNo
How long will the pet be left alone, and where will the pet stay while alone?
Where will the pet stay when someone is home?
Is anyone allergic to pets?

YesNo
Where will the pet be housed?

HouseYardBothDog pen
If you answered Yard, Both, or Dog Pen, what type of shelter will be provided will be provided
Where will the pet sleep?
What part of the house?
Is your yard completely fenced in?

YesNo
If not, explain how and where the pet will exercise and relieve themselves?
Do you rent or own your current residence?

RentOwnOther
How long have you lived there?
...
Landlord's Name if renting,

First NameLast Name
Phone Number

Area CodePhone Number
Housing if renting

HouseMobile HomeApartmentCondominium
Does Landlord allow pets?

YesNo
Restrictions?
Pet Deposit

YesNo
Behavior, Etc.
Do you plan on doing obedience training with your new pet?

YesMaybeNo
What are your feelings about crating?
What methods will you use to deter destructive behavior (i.e. chewing, relieving themselves in house, etc.)?
If you move in the future, what will you do with the pet?
How often and what type of exercise do you plan on giving the pet?
References of Neighbor, Relative and Non-Relative
Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Thanks for taking the time to fill out the application!
Should be Empty: