Moonracer Adoption Application

What animal are you interested in adopting?

Your name

First & Last Name

Your Address

Street Address

Street Address Line 2

CityState

Zip Code

Your Email

Your Phone Number

Area CodePhone Number

Phone Type

Employer

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Names and ages of all residents of your home (adults/children)

Please list any pets currently living in your home, and if they are vaccinated and altered.

Vet reference (please call your vet and give notice that we will call. If you have not been to a vet before, please register with one soon.)

Vet name, address & phone number

Will you allow Moonracer to visit your home prior to approving your adoption application?

Are you planning to move in the near future?

If moving soon, to what city/state?

When will you be ready to adopt this animal?

Is anyone in your home allergic to the animal you're planning to adopt?

Are you familiar with the breed?

You live in a:

Do you rent or own this property?

Landlord

Landlord Phone #

Area CodePhone Number

If you rent, you must give Moonracer No Kill Animal Rescue a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have this type of animal and showing any limitations.

If you live in a condo or townhome, you must show us written proof that you are allowed to have this type of animal there and show any restrictions.

How long at this address:

Previous Address (if less than 2 years)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you have a yard?

Have you discussed this adoption with all members of your household?

If applicable, will your children be taught how to play gently and kindly with this animal?

Have you ever had to give up a pet?

If yes, explain

Vet bills can be expensive. How do you plan on paying them? (IE: Pet health insurance)

Reference (Other than a family member)

Do you have any additional comments, questions or concerns?

By checking the box below, you understand the terms of this form and adoptee. You hereby agree that you will not use this animal in any sort of fighting or cruelty. You will love and care for this animal for the rest of its life, and you are ready to commit to that. You also agree, that if for any circumstances you can no longer provide love and care for this animal, you will contact Moonracer No Kill Animal Rescue and explain your situation before rehoming or taking the animal to a shelter.

Adopter's Signature

Signature date

Thank you for taking the time to submit this form. After you click the Submit button, you will recieve a confirmation email. Thank you!