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How did you learn about Save1Pet?
Is this application for a
currently available dog or cat?
If Yes,
which one?
Why are you interested in this pet?
If No, please let
us know what kind of pet you are looking for (breed type, size, male or
female, approximate age):
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| Do you rent or own?
House, Townhouse, Apartment?
If renting, please supply the name and phone number of your
landlord:
How long have you lived at the current address?
Do you have pool?
Please list below all people who live at this residence:
Name
Relation to You
Age
Do all adults at the residence work full time?
Are your other family members aware that you want adopt this
animal?
Is anyone in your family allergic to animals?
Is the animal going to be a gift for someone?
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| List below any pets you have
owned within the past 5 years:
If other pets are not spayed or neutered, please explain why:
How many times a day do you feed your animals?
What brand(s)?
Have
you ever adopted a shelter or rescue animal before?
If so, where?
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| For dog adoptions:
Do you
have a fenced area on your property?
If yes, please describe your fence (i.e.
type, height)
If not, how do you plan to have your dog relieve
him/herself?
What type of training will you pursue for your new dog?
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| How many hours each day do
you plan to spend with your pet?
Where
will the new pet be kept when it is alone?
Where will your new pet sleep?
What behaviors do you consider unacceptable in a pet?
How would you correct these behaviors?
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| Please list contact
information for a veterinarian that you have used before. Vet
references are checked.
DO YOU APPROVE OF THIS VETERINARIAN BEING CONTACTED FOR A
REFERENCE CHECK?
Vet Name:
Vet Phone Number (include area code):
Name under which your records will be listed:
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| Please list two personal
references, including phone number:
Name
Phone Number (include area code)
Name
Phone Number (include area code) |
| Please list the name of your
employer and that of your spouse if applicable:
Name and Address of Your Employer:
Employer Name:
Employer Address:
Name and Address of Spouse's Employer (if applicable)
Employer Name:
Employer Address:
Does your job require that you move often?
If so, what will you do with the animal if you have to move?
What will you do
with your pet when you travel on vacation?
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The adoption donation is $95 for dogs and $65
for cats. This cost is to cover the costs of spaying or neutering,
worming, shots and other medical care. All animals are spayed or
neutered and given vaccinations prior to adoption.
Are these terms
acceptable?
If you adopt a
pet from us, you are required to return the pet to us at your own expense if
you can no longer keep the pet.Are these terms
acceptable? |
| Please realize that dogs and
cats need medical care through their lives, including yearly boosters,
heartworm and flea/tick preventatives. If you cannot afford the adoption
donation, can you afford the appropriate veterinary care? Please
consider this before adopting. |
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I certify that I
am eighteen (18) years of age or older,
and have read the
above Adoption Application and will execute same promptly upon receipt of the
animal.
All medical records and pertinent information related to the
animal will be provided to you upon receipt.
Signature
(type name here if completing online):
Date:
Thank you for your interest in one of our homeless pets!
Remember that many of our animals were pulled from less than ideal
circumstances,
and we want only the best for them in their new homes.
Our adoption process is thorough and your answers will be reviewed.
Your vet and personal references will be contacted.
We will contact you by phone or email address as quickly as we can,
but remember we are all volunteers, and deal with a high volume of calls and
applications.
Please return this application by pressing the Submit
button, or you may print it and mail it to:
Save1Pet
P.O. Box 1335
Olive Branch, MS 38654 |