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Adoption Application

Home / Adoption Application

Adoption Application

Which Pet are you interested in? *

Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

E-Mail Address *

Employer *

Occupation *

When is the best time to contact you? *

How did you hear about us? *

How long have you lived at your current address? *

Do you live in a *

House
Apartment
Town Home
Duplex
Trailer or Mobile Home
Other

Do you rent or own? *

Rent
Own

If you rent... landlord's name, phone number and address

Do you have a fenced yard? *

Yes
No

If you don't have a fence, please describe how you will exercise your pet

Height and type of fence

Does anyone in your immediate family have allergies to animals? *

Yes
No

If yes, please list allergies below

Number and ages of children in your household *

Number and ages of adults in your household *

Who will be the primary care giver? *

Is this your first experience with a pet? *

Yes
No

Are your current pet(s) primarily kept *

Inside
Outside
Both

Please list all pets: *

Please list their breed, sex and age. Are they spayed/neutered? Are they declawed?

Please list all pets (within last 10 years): *

Please list their breed, sex and age. Were they spayed/neutered? What happened to this pet?

What type of identification does your pet(s) have? *

Veterinarian's Name *

Veterinarian's Phone *

Veterinarian's Address *

Do we have permission to contact your veterinarian to verify vaccination history of your current or past pets? *

Yes
No

We will attempt to provide you with an honest evaluation of the temperament of any animal we have to place. Do you realize that often times the complete history of an adoptable animal may not be known and you may encounter some behavioral problems? *

Yes
No

Are you willing to work with us on correcting these problems? *

Yes
No

Where will this animal be kept during the day? *

Where will this animal be kept at night? *

Is there someone home during the day? *

Yes
No

How long will this animal be alone during the day? *

Do you own a crate? *

Yes
No

What type of Heart-worm Preventative will you use or are you currently using? *

A new pet needs time & effort to allow for adjustment to its new home. How long seems reasonable for this? *

What do you consider to be a valid reason for giving up a pet? *

If your living situation was to change, what would you do with your pet? *

Examples: Marriage, college, moving to a property that doesn't allow pets, etc.

Have you ever relinguished a pet to an animal shelter or a rescue group in the past? *

Yes
No

If yes, please explain:

Phone

**By clicking the “Submit” button I certify that the information provided on this form is true and correct, and that I am financially and physically able to care for a foster animal. Home checks are made on a random basis following the foster. If upon inspection we find information contained in this application to be false, we retain the right to remove the animal from your premises. I understand that although SHARE screens the animals for foster care placement, it makes no guarantee relating to the animals’ health, behavior or actions. I understand that I receive foster care animals at my own risk.**

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