Temporary Home Animal Rescue

Temporary Home Animal Rescue Application

Thanks for choosing to adopt! Please fill out the information below. If a question doesn't apply to you please type N/A. Any questions about the application process can be answered by calling 307-797-2404. Remember, we are trying to find a great companion for you and a lifelong home for our rescue animals! Please be as detailed and honest as you can when completing this form. Trial adoptions are offered and returns to the rescue are mandatory if you can no longer retain possession of the animal.
Date

MonthDayYear
Name of the animal you want to adopt.
Discription of the animal: Color, age, long hair, short hair, breed
Adopter's Name
First & Last Name
Co-Adopter's Name
First & Last Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip Code
Adopter's E-mail
Co-Adopter's E-mail
Phone Number

Area CodePhone Number
Phone Type
Names and ages of all permanent residents of your home (adults/children)
Current pets in your home
Are the current animals in your home spayed/neutered and vaccinated? If not, why?
Are the current animals in your home friendly to other animals?
Vet reference (please call your vet and give permission to release information to us)
Vet name, address & phone number
Are you planning to move in the near future?
If you had to move, would you make sure the new home would accept pets?
Are you willing and committed to take full responsibility for all care of this animal?
When will you be ready to adopt this animal?
Will you allow a home visit by a rescue representative to help determine if the animal is a good fit, safe in the new environment, and compatible with other pets in the home?
Are you in contact with any other rescues or shelters about a specific pet?
Is anyone in your home allergic to animals?
Have you or anyone in your home ever been charged with animal abuse or neglect?
Are you familiar with pet number regulations in your area?
If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.
I/We live in a
Do you rent or own this property?
If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have pets and showing any limitations.
Do you work outside the home?
If you both work outside the home, how many hours per day are you away?
Can you financially afford annual veterinary visits, routine care, or emergency medical care if an illness or injury should happen?
Please describe your household
What activity level do you prefer in your companion?

Other
Have you ever relinquished a pet to an animal shelter or given it away?
IF ADOPTING A CAT: Do you plan to declaw?
IF ADOPTING A CAT: Will the cat be indoors, outdoors, or both?
IF INTERESTED IN ADOPTING A DOG: Do you have a yard?
IF INTERESTED IN ADOPTING A DOG: If fenced, fence height is:
IF ADOPTING A DOG: How many hours per day will this dog be alone? Explain
IF ADOPTING A DOG: Please check all that apply. I want to adopt this dog...
IF ADOPTING A DOG ONLY: Please check all that apply. My adopted dog will...

Other
Additional reference
Please read the above, check this box, sign, and click Submit.
Applicant's Signature
Co-Applicant's Signature
Signature date
After you submit this form, we will be in contact with you to schedule a meet and greet with the animal or animals you are interested in adopting. If you have any questions please contact us at 307-797-2404. Thank You!
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Temporary Home Animal Rescue Application