Adoption Application - A Place Fur Rescue

Name of the pet you are interested in: *

Your name (First and last): *

Your age: *

Your phone number: *

Your physical address: *

Your primary email: *

Your secondary email:

Do you rent or own your home? *

If you rent, can you provide a copy of your pet agreement and proof of paid pet deposit from your landlord? *

How long have you lived there? *

Previous Address (If less than 3 years at present address) *

Employer: *

Your supervisor's name and phone number: *

REFERENCES- Reference 1 name *

First

Last

Reference 1 phone number: *

Reference 1 email: *

Reference 2 name *

First

Last

Reference 2 phone number: *

Reference 2 email: *

Reference 3 name *

First

Last

Reference 3 phone number: *

Reference 3 email: *

VET INFO- Veterinary Clinic: *

Vet name: *

Vet address: *

Vet phone: *

FAMILY INFO- Number of adults in the household: *

Names of all adults in household (First and last name, and relation to applicant) *

What types of animals have children lived with in the past? *

Do you or anyone in your family have a history of allergies or asthma? *

Are there any smokers in the house? *

Do they smoke in the house? *

On an average day, how long would your pet be left alone? *

What arrangements do you make for your pet when you go out of town? *

List all animals currently living with you and include their age(s) *

Where do your current animals sleep during the day? *

Where do your current animals sleep during the night? *

What brand and type of food are you currently feeding your pets? *

Please describe what your idea pet and what characteristics would be looking for in "an ideal" pet: *

What is your own pet history? *

Are your current pets up to date with their vaccinations? *

Have your current pets been microchipped? Is there a reason you haven't done it? *

Has your current pet be spayed/neutered? If not, please explain: *

What type of outdoor access do you have for your current pet? *

Will your pet be allowed to play outdoors? *

Do you have a pet door? *

Have you ever given an animal away or surrendered it to a shelter? Please explain: *

Do you have someone who would take your pet permanently should something unexpected happen to you? *

If not, what would happen to your pet(s) if something should happen to you? *

If yes, please list their name and contact: *

What discussion or directive has been agreed upon between you and the contact listed above? Is it in writing? *

What would you do if someone in your family became allergic to your pet? *

What is a reasonable amount of money to spend on routine vet care? *

If your pets life was in jeopardy, what is the most you would be able to spend to treat them and save their life? IE: emergency vet care *

Have you ever thought about what you would do if there was a change to your living situation (ie moving, marriage, baby etc) AND you were required to get rid of your pet? Please give a detailed explanation: *

Do you have room to keep your new pet separate during their acclimation process? *

Do you have a Facebook or Instagram you would like to share?

Where did you hear about A Place Fur Rescue?