| Who are you interested in adopting? |
|
| Adopter's Name |
|
| Address |
|
| City, State & Zip |
|
| Home Phone |
|
| Cell Phone |
|
| Email Address |
|
| Today's Date |
|
| Do you own or rent your home? |
|
| What type of dwelling is it? |
|
| If you rent, are you allowed pets? |
|
| If so can you provide landlord contact info? |
|
| Is yard fenced? |
|
| What type of fence? |
|
| How many people live in the home? |
|
| Ages of any children living in the home? |
|
| Is everyone in agreement with adotping? |
|
| Does anyone in your home have a medical or allergy condition? |
|
| Who will be the primary caretaker of the animal? |
|
| Who will care for the dog in your absence? |
|
| Describe your ideal pet. |
|
| List your current pets, name, age, breed, altered.... |
|
| List previous pets, name, age, breed, why no longer with you. |
|
| Were the above pets vetted? |
|
| Have you ever relinquished a pet to a shelter or other person? if yes, why? |
|
| Vet Name, city and phone number. |
|
| Do you give SSCR permission to call and verify your vet reference? |
|
| Where will your new pet be living? |
|
| How many hours a day/night will the pet be left alone? |
|
| How much time will your pet spend outside on a regular basis? |
|
| Where will the dog be kept when you are not at home? |
|
| How do you plan on exercising the dog? |
|
| Do you plan to enroll in obedience training? |
|
| Rescue dogs sometimes require extra time to adjust to a new environment, how much time do you feel is reasonable for this? |
|
| What will happen to the dog if you move? |
|
| Who will care for the animal if you can no longer care for it? |
|
| What behaviors would you be UNABLE to tolerate? (check all that apply) |
|
| What methods do you plan on using to discourage unwanted behavior? (check all that apply) |
|
| For what reason would you consider giving up your pet? |
|
| Why have you chosen to adopt a pet? Please be honest, we want to be sure that we can match you up with a pet appropriately. |
|
| Why do you want this pet? (check all that apply) |
|
| What are your feelings on spay and neuter? |
|
| Are you aware that animals require yearly vaccinations/test and the costs can be a minimum of $200 |
|
| How long have you been looking for a pet? |
|
| Have you applied elsewhere? |
|
| What is the status of your other applications? |
|
| Are you aware that rescue dogs may have unknown medical or behavior history? |
|
| Would you object to SSCR calling or visiting you to inquire about the adopted pet? |
|
| Any additional info that you feel would be helpful? |
|
| Name: Serves as your electronic signature |
|
|
|
| |
|
|