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Pet Adoption Questionnaire

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Pet Adoption Questionnaire Powered By Docstoc
					                                                   Pet Adoption Application
Adopting an animal may be a more involved process than you expected, and you can’t have immediate access to an animal you are
interested in. It is important that you understand two things: 1) the process is the same for everyone and 2) it is not our intention
to frustrate you.
Everything we do is for the best interest of the animals in our care and is aimed at giving them the best possible chance of finding a
permanent home.

Before you can adopt an animal, you must complete this Pet Adoption Application, designed to help people understand the long-term
responsibility of owning a pet and to ensure that all adoptions are in the best interests of the animals. Please Note: There is a waiting
period of at least 24 hours, to help avoid impulse adoptions and to give us the necessary time to check references/landlord approval,
and review application. The Animal Rescue League reserves the right to refuse any adoption, which it feels is not in the
animal’s best interest.

Once your application has been approved you’ll be asked to sign an adoption contract and pay an adoption fee, which includes de-
worming and a vaccination. A Neutering fee is also required at the time of adoption for all un-neutered or un-spayed animals, as
neutering is mandatory for all shelter animals.

It is not only stressful and upsetting for the animals, our staff and most importantly for you when adoptions do not work out and pets
have to come back to us, it is devastating. So bear with us, be patient and understand that this process is the best policy… for all of
us!
____________________________________________________________________________________________________________

In order to be considered for an adoption you must 1) have the knowledge and consent of all members of the household, be at least
18 years of age, and have valid identification with current address.

Name: ____________________________________ Home Phone: ______________________                       Work Phone: _________________

Address: ________________________________________________

         ________________________________________________                City: ________________________ Postal Code: __________

How Long At Current Address: ______________________________ Do You:                          Own               Rent/Board

Parent’s/Landlord’s Name: _________________________________              Phone: ____________________________________________
                           PARENT/LANDLORD MUST SIGN LANDLORD PERMISSION FORM



Living Arrangements:         House         Apartment           Townhouse            With Parents

Are You:            A Student         Working           Retired            Other ___________________________________________


If you move, what will you do with your pet? _______________________________________________________________________

Household Members:       Adults        Children     Ages of Children: ___________________________________________________

Who will be responsible for feeding and training your pet? ____________________________________________________________

Is Anyone In Your House Allergic To Pets?           Yes     No
Why Are You Getting A Pet?        Companion           For A Child        Hunting
                                                                         Other ____________________________________________
                                                                                 NO ANIMAL IS ADOPTED AS A GIFT OR FOR BREEDING
Page 2                                                  Pet Adoption Application
Have You Ever Owned A Pet? _________ How Many Pets Have You Had In The Last 5 Years? ____ Dogs ____ Cats ____
Please Tell Us The Following About your Pets. (If you live on your own, do don’t include your parents’ pets.)

     Type          Where is/Was Pet Kept?          Age      Sex     Neutered               Still Own? If Not, Where Is It?




Name of Veterinary Clinic(s) Where Pets Were Treated: ______________________________________________________________
Are/Were Your pets’ Vaccinations Current? _____________ Are/Were Your Pets Licensed With Your Municipality _____________
Has A Pet Died Of A contagious Disease In The Last 3 Months? Yes No             Or Been Hit By A Vehicle?    Yes   No

WILL YOU SPAY/NEUTER YOUR PET?                    Yes      No       Already Neutered/Spayed

Are You Prepared For The Expense Of Owning A New Pet? (Estimate only $400-$700 Per Year)                         Yes              No
                  YEARLY VACCINATIONS, ANNUAL LICENSE, FOOD, LEASH/COLLAR, MISCELLANEOUS ITEMS

Are You Willing To Accept The Financial Responsibility Of Unexpected/Required Medical Expenditures? Yes             No
Are You Prepared To Allow An Adjustment Period Of At Least Two Weeks?                               Yes             No
Are You Aware Of Licensing And Pet By-Laws In Your Municipality?                                    Yes             No
Will Someone Be Home During The Day with Your Pet? Yes         No      How Many Hours A Day Will Your Pet Be Alone? _____
Where Will Your Pet Be Kept During The Day? ___________________________________ Night? __________________________
                                             ALL ADOPTEES MUST SLEEP IN THE HOUSE WITH THE FAMILY
Have You Ever House-Trained A Pet Before?                      Yes       No     Briefly, How Will You House-Train This Pet?
__________________________________________________________________________________________________________
How Will You Handle Behaviour Problems Like Chewing, Digging, Climbing Or Scratching Furniture, Etc.
____________________________________________________________________________________________________________
FOR DOG ADOPTEES ONLY:
Why have you chosen this particular dog? _______________________________________ Do You Have A Dog House? Yes No
Do You Have A Fully Fenced Yard Or Invisible Fencing?             Yes No           Will Your Dog Be Tied Out?               Yes      No
How Much Time Will You Spend Exercising Your Dog Daily? _________ How Will Your Dog Be Exercised? _________________
Would You Consider Obedience Training Classes For This Dog?                Yes    No
FOR CAT ADOPTEES ONLY:
Why Have You Chosen This Particular Cat? _______________________________________________________________________
Cats Are Often Active At Night. How Will You Handle This? _________________________________________________________
Do You Plan To Let Your Cat Go Outside? Yes              No
By signing below, I certify that the information I have given is true and that any misrepresentation of facts may result in losing the
privilege of adopting a pet. I understand that the ANIMAL RESCUE LEAGUE has the right to deny my request to adopt an animal,
and I authorize investigation of all statements in this application. I AGREE TO HAVE SAID ANIMAL SPAYED/NEUTERED
WITHIN 30 DAYS OF ADOPTION DATE IF OVER 4 MONTHS OF AGE AND BY 4 MONTHS IF UNDER. I understand
that as part of the follow-up program, the ARL can phone or visit me to see how the pet is progressing. If this pet is missing I agree to
report it to the ARL. And if for any reason this pet does not work out in my home, I agree not to release it to anyone but will return it
to the Animal Rescue League.
______________________________________________________                          ___________________________________________
Applicant’s Signature                                                           Date


For Office Use Only                 Date: ___________________                     Counselor: _________________________________

Animal Code Number: __________ Breed: ____________ Description: ____________________________________ Sex: M F N S

Adoption Accepted __________ Not Approved ____________ Reason __________________________________________________

				
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