Pet Adoption Application Form

Adoption Application, Contract and Waiver

Applicants name*

First NameLast Name

Age*

Co-Applicants name*

First NameLast Name

Name of Pet You Wish to Adopt*

Email Address*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you own any pets?*

Pet Name(s)

Pet Breed(s)

Are all of your pets spayed or neutered?

Are your pets up to date on vaccines?

Are your pets current on flea tick and heartworm prevention?

Please provide your veterinarian's name and phone number:

Pet's disposition and behavior towards other dogs?

Do you own or rent your home?*

OwnRent

Do you have a yard?*

YesNo

If "Yes" to the above, is it fenced? please describe

What is your landlord's pet policy?*

If you rent, please provide your landlord's information here:*

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?*

YesNo

If you answered "Yes" to the above question, please provide detail:

Are there children in the home? (If yes, please list ages)*

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

Where will your pet stay when you are not home?*

Where will your pet sleep at night?*

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*

Please provide the names, emails, and contact numbers for 2 personal references:*

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo

If you answered "Yes" please provide a detailed description:

By clicking the submit button, I agree to Granny Fayes Senior Sanctuarys adoption process, will undergo a homecheck, and interview at the discretion of the rescue.
By clicking the submit button, I understand Granny Fayes Senior Sanctuary will check my references including veterinary and personal.
By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Granny Fayes Senior sanctuary and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet.
By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify Granny Fayes Senior Sanctuary BY EMAIL and provide a 14 day period to allow the rescue to make arrangents for my pet to be taken back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless Granny Fayes Senior Sanctuary against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that Granny Fayes Senior Sanctuary will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Granny Fayes Senior Sanctuary and provide transport to where the rescue deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent*