Docstoc

ENCHANTMUTTS ADOPTION APPLICATION(1)

Document Sample
ENCHANTMUTTS ADOPTION APPLICATION(1) Powered By Docstoc
					We are looking for permanent homes for our animals and understand and appreciate that we can grant “Sleepover” privileges to potential adopters to ensure “Sleepover” Application a good match between families and our animals. By offering the opportunity for a “Sleepover” stay, we are encouraging you to see firsthand what it would be like to have this animal as a treasured member of your family permanently and to ensure it is a good fit for your family and the animal. In addition to this completed “Sleepover” Agreement, we must also have a completed and approved Adoption Application on file.
IF YOU ARE COMPLETING THIS FORM ON LINE – PLEASE USE THE TAB TO MOVE FROM SECTION TO SECTION. For yes and no answers – please click on the appropriate box with your mouse.

EnchantMutts

APPLICANT INFORMATION – fill in completely
Full Name:
Last First Apartment/Unit # State ZIP Code

Date:

Address:
Street Address City

Phone: Cell:

( (

) )

E-mail address: Spouse Name: Where will the dog sleep? Animal Description: Date Visit to End:

Animal Visiting: Animal Microchip #: Date Visit to Begin: What are your plans for this time frame? Date your home visit was completed and by who: Are all family members going to be present during the time frame? Will the dog be left alone at any time? Will he/she be crated? Emergency Contact #:
In case of emergency where will you take this dog? Name and number of your veterinarian or pet clinic:

YES

NO

Do you plan on traveling at all during the time frame?

YES

NO

ENCHANTMUTT CONTACT INFORMATION
Name: Feeding Directions Supplies Left: Date In: Phone: Alternate Phone: ER Vet and Instructions: Date Out: Disclaimer and Signature – POTENTIAL ADOPTER
( ( ) )

I certify that my answers are true and complete to the best of my knowledge. I also understand that supplies left in my possession for this “sleepover” visit must be returned after the visit and they are outlined above. I certify that should emergency medical needs arise for this animal, I will be responsible for taking him/her to the veterinary clinic and will pay for all billable services rendered.
Signature: Date:

EnchantMutts Adoption Application – Revised April 2009 – Contact: info@enchantmutts.org. Form 4092SA Essential paperwork – Adoption Application, Home Visit Form and Adoption Contract necessary for approved adoption.


				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:6
posted:1/23/2010
language:English
pages:1
Lingjuan Ma Lingjuan Ma
About