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Name:
Email:
Address:
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Do you own, rent or other:
If renting, name of landlord:
Landlord contact number:
Is this your first pet?:
If no, how many other pets do you own?:
What types of animals do you own, ages & current on vaccinations?:
Why are you interested in adopting a pet?:
What characteristics are you looking for in a pet?:
Have you ever adopted from a rescue or shelter in the past?:
If yes, how was that experience?:
Current Veterinarian Name:
Address:
Phone:
Is your yard fenced in?:
IF no, how will you keep your pet safe?:
How many adults and children are in the household?:
Any pet-related allergies?:
How would you cope with behavioral problems such as chewing or excessive barking?:
Some pets acan be destructive when left alone for a period of time, if your pet suffers from separation anxiety, how would you cope with this?:
Are you familiar with crate training?:
Heartworm disease and prevention?:
Flea and tick controls that are available?:
Do you understand the importance of spaying and neutering?:
Would you like any information on any of these topics?(please specify):
We are happy to answer any questions that you may have about your new pet. Do you have any concerns about your new family member before you take him/her home?:
We understand that getting to know your new family member takes time for both of you and if any concerns may arise after the adoption, please feel free to call us.