Pet's Name
*
Type of pet?
*
Do you wish to foster or adopt this pet?
*
Your Name
*
First Name
Last Name
Your Age
*
Home Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Home Phone
(###)
###
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Cell Phone
(###)
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Work Phone
(###)
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Employer, if Employed
Please list the names and ages of everyone living in the home, including renters.
*
Do you currently have other pets?
*
If so, please provide pets' names, ages and breeds.
Please list ages of frequent visitors (ex: grandchildren, neighbors, etc.) to the home. *
If approved to adopt, will your new dog have regular contact with other dogs? *
If so please list gender/age of those dogs: (i.e. girlfriend’s 2 female dogs, grandchildren’s male dog, etc.)
Have you had pets in the last five years that have passed away or are not currently living with you?
*
If so, please provide each pet's name and explain the circumstances.
Do you own or rent your home? (If rent, please provide landlord's contact info)
*
If you adopt this pet, where will you keep him or her?
*
Indoors? Outdoors?
Where will your pet sleep?
*
Is anyone in your home allergic to pets?
If so, please describe.
Do you have a fully fenced in yard?
*
If so, please describe the height and material of fence.
How will you exercise the pet you wish to adopt?
*
Are you prepared and willing to make a commitment to care for this pet for the duration of its life?
*
Do you agree to return the pet you may adopt from us to Animal Alliance if there are any problems keeping it?
*
Required by our contract
If adopting a cat, do you plan to declaw?
If this pet demonstrated behavioral issues, would you be willing to seek assistance from a professional?
*
What type/brand of food do you plan to feed this pet?
*
What do you estimate this pet's food would cost per week/month?
*
How many times per day would you feed your dog/cat? *
What do you estimate medical care costs for this pet would be per year?
*
On an average day, for how long would this pet be left alone in your home?
*
Please provide a veterinarian reference (NAME AND PHONE #)
*
Please provide a personal reference (name, relationship and contact info)
*
Did you meet this pet at an adoption event? If so, please provide the location (e.g. PetSmart Flemington)
