Stray Network Animal Rescue Adoption Application

Stray Network Animal Rescue Adoption Application Form

Thank you for considering adoption through Stray Network. Please complete the application below it will automatically be sent to one of our volunteers for processing. Please answer EVERY question, if it does not apply indicate N/A.

Please be sure to let your personal and veterinary references know we will be calling them so they will speak with us!

if you have any questions you can always email us at straynetworkrescue@gmail.com

Thanks again!!

Full name

Occupation

Address

City, State

How long at this address

Daytime Phone

Evening Phone

Best time to call

Email address

example@example.com

How many adults are there in your family (their relationship to you)?

How many children (ages)?

What type of home do you live in single family, town home, apartment, farm, etc.?

If you rent, please give the rules governing pets and the landlord's name and number: (by providing this information you are allowing Stray Network to contact your landlord please inform them of this call so they will speak with us)

_________________________________________________________

Please describe your household

ActiveNoisyQuietAverage

Does anyone in the family have a known allergy to dogs? Please answer YES or NO

Is everyone in agreement with the decision to adopt a dog? Please answer YES or NO

Do you have time to provide adequate love and attention? Please answer YES or NO

What other pets do you have (specify type and number)?

Are these pets spayed/neutered? If not..why?

Are your current dogs on flea, tick and heartworm prevention?

Have you ever surrendered a pet? If so, why?

If you adopted a pet through our organization and the dog began to develop behavioral issues do you agree to contact a trainer immediately to work on those issues? Please answer YES or NO

Do you understand that adoption is a life long commitment ? Please answer YES or NO

What circumstance if any would cause you to surrender a pet?

Do you agree that if behavioral issues arise you will seek out training to help and keep your pet? Please answer YES or NO

Have you ever had a pet euthanized? If so, why?

Have you ever lost a pet to an accident? Please answer YES or NO

Do you have a regular veterinarian?

YesNo

Veterinarian's name

Clinic Name

Clinic Address

Clinic Phone

(Providing Stray Network with this information you are allowing Stray Network to call your vet. Please call your vet and ask them to authorize the release of information to Stray Network Animal Rescue

About the Dog You Wish to Adopt

What is your idea of an ideal dog and why?

______________________________________________________________

Desired age

Desired Size

Desired breed

Breed you would not adopt

shy dogoutgoing/hyper dog dog that needs regular medication dog that needs groomingNone of thesedog that needs trainingWilling to adopt:Desired sex: Spayed Female Neutered Male No preference

Breed you would not adopt - **** Please note - there is no way to know what breed mix a rescue pup might have in them. We only do our best to guess based on looks and information provided to us. Would finding out that your adopted pup or dog has a mix of a breed change how you feel about this pet?

Do you have a preference Male or female?

Where will the dog spend the day? (describe)

Where will the dog spend the night? (describe)

Number of hours (average) dog will spend alone?

Who will have primary responsibility for this dog's daily care?

Who will have financial responsibility for this dog?

Do you have a Fenced yard?

What type of fence?

How did you hear about Stray Network Animal Rescue?

Please list someone who is familiar with both you and your pets. Please no relatives as reference.

Name

Address:

Phone

Relationship (coworker neighbor, friend, etc

Please list someone familiar with you and your pets. Please do not list any relatives.

Address:

Phone:

Relationship (friend, coworker, neighbor)

Do you want to foster pups or adult dogs for the rescue and want more information about it?

All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.

(Signature)

(Date)

Date

Personal References: