Adoption Application
Underdog Salvation Rescue
Applicant Name
*
Applicant Date of Birth
*
Co-Applicant/Partner
Co-Applicant Date of Birth
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email
Name of pet you are interested in:
*
How many adults live in your home?
*
How many children live in your home?
*
Why are you interested in adopting a pet?
*
Does anyone in your household have a known pet allergy?
*
Yes
No
Not sure
Is everyone in your household in agreement with adopting a pet?
*
Yes
No
Not sure
Will this pet be kept indoors?
*
Yes
No
Other
Where will this pet stay when you are not home?
*
Where will this pet sleep?
*
For CAT adopters: will you have this pet declawed?
Yes
No
Undecided
For DOG adopters: Do you have a fenced in yard?
Yes
No
Other
For DOG adopters: if you have a fence what kind and how tall is it? If not, how do you plan to excercise and potty a dog?
Please provide the name, address, AND phone number for the vet you intend to use for this pet.
*
What is your living situation:
*
Rent
Own
Relatives own home
Rent to own
Other
If the home is in any other name other than yours please list a landlord/homeowner AND phone number so we can verify you are permitted to have a pet:
By providing this information you are allowing Underdog Salvation to contact this person. Please let them know in advance do they will speak to us.
Are there any objections to having your facilities inspected?
*
Yes
No
Other
Please list all currently owned pets including: name, species, age, & how long you've owned them. If you don't have pets, please enter N/A
*
Please list the name and number for where current/previous pets received vetting, and note if the account will be in a name other than your own.
By providing this information you are allowing us to call your vet. Please call you vet and authorize them to release this information to Underdog Salvation.
Please enter any other pets you've owned in the last 5 years and why they are no longer with you.
Have you ever "rehomed," given away, or surrendered a pet to a shelter?
*
Yes
No
Other
If answer to previous question is yes, please explain in detail:
What circumstances would cause you to give up your pet? (For example: allergies, biting, improper elimation, escape risk, not enough time, relocating)
*
Personal references: please list at least TWO individuals that are familiar with you and your pets including full names, telephone numbers, and their relationship to you.
*
All of the information I have provided is true and complete. This animal will reside in my home as a pet. I agree to provide this animal with quality food, plenty of fresh water, indoor shelter, affection, and annual physical examinations and vaccinations under the supervision of a licensed veterinarian.
*
By typing your full name above you are agreeing to the above stated terms.
Application Date
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Month
-
Day
Year
Date
Submit
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