Pet Adoption Application Form

Adoption Application, Contract and Waiver

Adoption Applicant 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

Please list all pets and their ages that you have owned in the last 5 years.

(e.g. Dog - 5 years, Cat - 1 year)

If any of them are no longer with you, please give reason.

Are any of your pets NOT spayed/Neutered?*

YesNo

If you answered yes, please explain why?

Pet's disposition and behavior towards other cats?

Please provide your veterinarian's name and phone number:

Do you own or rent your home?*

OwnRent

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*

YesNo

If yes, please explain why pet was surrendered.

Are there children in the home?

YesNo

If you answered "Yes" please provide age(s):

please separate each entry with commas

How would you deal with behavioral issues such as clawing, marking, bathroom accidents, unruly behaviors in your pet?

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 Friends of Albion's Animals adoption process, will undergo a homecheck, and interview at the discretion of Friends of Albion's Animals.
By clicking the submit button, I understand Friends of Albion's Animals will check my veterinary references.
By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Friends of Albion's Animals 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 agree to indemnify and hold harmless Friends of Albion's Animals 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 Friends of Albion's Animals 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 Friends of Albion's Animals and provide transport to where Friends of Albion's Animals deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Adoption Applicant*