Pet Adoption Application Form

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Adoption Application, Contract and Waiver

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Prior to filling out our application, please note that we will do a veterinary reference check prior to a phone interview to ensure potential adopter's previous/current pets are current on vaccines and annual exams. In order for All Creatures to do the veterinary check, please call your veterinarian to give consent to release the information to us prior to submitting your application.

All adopters must live within 500 miles of Lacona, NY. We will not ship pets and all family members, including dogs, must travel to the adoption to be sure the pets and family are good with the potential new adoption. For local adopters, home visits are arranged at times to make the meet and greet more accessible.

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Name of Pet You Wish to Adopt* This field is required.

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I have read the pets full profile on Petfinder or Facebook and meet the listed requirements or criteria listed in the profile. Please Initial below confirming* This field is required.

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If the pet you listed is no longer available are you open to others that we feel may be a good match?

Yes

No- the pet I listed is the only pet I am interested in

Maybe

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Are you located within 1 hour of Adams, NY (foster to adopt applicants ONLY). This will be noted in pets profile if the pet is looking for a "foster to adopt" and needs to be within the 1 hour radius.* This field is required.

Yes

No

N/A- pet not listed as foster to adopt

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When will you be ready to adopt?* This field is required.

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Perspective Pet Parent* This field is required.

First Name

Last Name

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Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Email Address* This field is required.

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Phone Number* This field is required.

Area Code

Phone Number

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Place of Employment* This field is required.

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Best time to call* This field is required.

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Do you own or rent your home?* This field is required.

Own

Rent

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If you rent, please provide your landlord's information here: (including name and phone number) * This field is required.

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How old are you? (Must be at least 18 years old)* This field is required.

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Do you have any children living in the household (18 or younger)? If so please list ages.* This field is required.

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Do you have anyone else living in the household over 18? (please list)

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Do you currently own any pets? Please include any pets residing in the home * This field is required.

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If so please list Pet Name(s) and age(s), Pet Breed(s)* This field is required.

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What kind of other animals have they been around?* This field is required.

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If you currently don't have any pets, have you had any animals in the past 5 years? * This field is required.

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If so, what kind and why are they no longer with you? * This field is required.

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Are/were you pets up to date on vaccines (including rabies AND distemper/parvo)? This will be verified during vet reference call * This field is required.

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Are/were you pets in annually for wellness exams with a Veterinarian? This will be verified during vet reference call. * This field is required.

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Are/were all of your pets spayed/neutered? This will be verified during vet reference call * This field is required.

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Please provide your veterinarian's name and phone number: Please clarify name records are under. * This field is required.

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Have you ever given a pet away?(answering yes does not mean you will not be approved to adopt from us)? * This field is required.Ifso, please explain the circumstance

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Do you have a fenced yard? (Potential dog adopters)* This field is required.

Yes

No

N/A

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How will you keep your pet restrained when outdoors? (Potential dog adopters)* This field is required.

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Where do you plan on keeping your pet when you are not home? (Potential dog adopters)* This field is required.

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Do you plan on keeping your pet on heartworm preventative? (Potential dog adopters)* This field is required.

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If you can no longer keep this pet, do you agree to contact All Creatures Big and Small FIRST before finding it other living arrangements? * This field is required.

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Have you called your veterinarian giving consent for All Creatures to verify your veterinary history? PLEASE CONTACT YOUR VET AND LET THEM KNOW WE WILL BE CALLING. Due to privacy laws, vets require authorization to provide a reference. If we are unable to get a reference when we call the first time, we will email you to call your vet. This will delay the processing of your application. * This field is required.

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

Yes

No

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

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How did you hear about us? * This field is required.

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Other comments

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Please read the following terms to show that you understand and are willing to abide by them to adopt one of our pets:

By submitting this application, I understand that this pet is being adopted as an indoor pet, cats will not be permitted to roam freely outdoors and dogs will not be adopted to be tethered to a doghouse. I intend on adopting this pet for my family and understand it cannot be given to a third party as a gift.

By submitting this application, I understand that the adoption donation is non-refundable.

By submitting this application, I understand that all members of the family are required to attend the adoption; this includes dogs living in the house no matter their breed or condition. Pets will not be shipped or transported, I am willing to travel to Adams NY to view them if a home visit is not required.

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Signature of Potential Pet Parent* This field is required.

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