Animal Adoption Application ARP

Who are you interested in adopting?*

Preferred gender of pet

MaleFemaleDoesn't matter

Age of pet desired*

Baby (less than 1 yr)Young adult (1 to 2 yrs)Adult (2 to 7)Senior (7+)

If you are interested in a kitten, how would you feel if the kitten did not grow up to be a "lap cat"?*

Would you consider a special needs pet? (Illness, disability, or special care required)

YesNoMaybe, depending on the situation

Would you adopt a pet with FELV?*

YesNo

Would you adopt a pet with FIV?*

YesNo

Your name*

First & Last Name

Age of person adopting*

Your Phone Number*

Area CodePhone Number

Phone Type*

CellHomeWork

Your Email*

Your Address*

Street Address

Street Address Line 2

CityState

Zip Code

How long have you resided at this address?*

Do you rent or own this property?*

RentOwnOther

Are you planning to move in the near future?*

YesNo

If moving soon, to what city/state?

Would you move to a building that does not allow pets?*

YesNo

Are you willing to have a volunteer visit your home to ensure a safe environment for your new pet? (*This can be a virtual visit as long as Covid-19 remains a threat*)*

YesNo

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

Has everyone in your household been tested for allergies to cats? What was the outcome for each person?*

If a member of your household, including children, develop an allergy, what will be your course of action?*

If you are renting or live in a Co-op or Condo, does your landlord/HOA allow pets?*

YesNoNot sure

If you rent, please provide contact information for your landlord.*

Do you have a yard/terrace/balcony?*

Yes, fenced with a vertical fenceYes, fenced with invisible fencingYes, no fence/enclosureNo (apartment/condo/townhome)

Do you plan to let your pet outside?*

Are you adopting for yourself or someone else?*

Are you aware that pets can live 15+ years? Are you prepared to make this kind of long term commitment?*

How many hours per day will the pet be alone?*

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

When will you be ready to adopt this animal?*

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

YesNoYes, adults have discussed. Kids don't know yet.

Please be aware that dogs/cats given as gifts for the holiday season are usually returned to shelters or given to pounds after the New Year's. With this in mind, please make sure that any animal you are adopting will be a permanant resident.

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

YesNoNo children

Vet bills can be expensive. What do you expect to pay for annual checkups?*

What is the most you would spend on vet bills for an emergency or illness? (Not annual checkup)*

Have you had pets before? If yes, what species?*

If you have had pets before, where are those pets now?*

Have you ever had to give up a pet for adoption? If yes, why? *

Would you ever rehome a pet? Under what circumstances?*

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

Do you agree to have your pet neutered/spayed, if not already?*

If you have cats, are they FIV+ or FELV+?*

If you have cats, are they declawed?*

If applying to adopt a cat, do you intend to declaw (surgically remove the claws) the kitten/cat?*

Employer name and address:*

Employment duration*

Occupation/title*

Does your job require extensive travel?*

If you travel for work or leisure, who will take care of your pet?*

If you have an emergency and need to be away, who will take care of your pet?*

In the unfortunate event that you become ill or otherwise incapacitated, what will happen to your pets?

Reference #1:*

Name, contact information, relationship to adopter.

Reference #2:*

Name, contact information, relationship to adopter.

Vet reference:*

Clinic name, address, phone number, name the records are under.

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, breeding, 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 an admin of the group and explain your situation before taking the animal to a shelter.*

I understand the above, and have tried to the best of my knowledge to make sure all information is correct.

I authorize all references provided to be contacted

I understand that the completion of this form is the first step in the adoption process and does not guarantee an adoption.

If my application is approved and I proceed with the adoption, I agree to pay the appropriate non-refundable adoption donation fee.

Adopter's Signature*

Signature date*

Thank you for taking the time to submit this form. Please feel free to contact me (the person you are adopting from) or any of the admins in the Adopt/Rehome network. After you click the Submit, you will be redirected to the main page, and you will also recieve a confirmation email. Thank you!

ADOPTION APPLICATION

Adoption Information

Personal Information

Residence

Background

Pet History

Employment Information