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Shelter From The Storm

Adoption Application

Last Name:
First Name:
Street Address
City:
State
Zip Code:
Phone No:
Email:
HOUSING:  Do you own or rent? Please include type of building (house, apartment, condo, etc) and landlord's name and phone number
Which pet are you interested in?
List the people who live with you, their ages and please indicate the primary care giver for the animal you are interested in.
Have you ever surrendered or given up a pet to a shelter or other situation?

If yes, please describe the situation:
List all the animals that you have had in the past five years, where they were adopted from, if you still have them are they current on their vaccinations and have they been spayed/neutered?
Are you willing to take responsiblity for unexpected veterinary fees ($300 + a year) due to ear infection, upper respiratory infections, parasites etc.?

Why are you adopting a pet?  Check all that apply:







If Other: please describe
Where will the animal you are interested in spend most of their time? (Pick an answer from the drop-down box below)
What will happen to the animal if you move?
How will you transport the animal to the vet and other necessary places?
What do you feel is an acceptable reason to give up a pet?
For Cat Adoptions Only
Do you plan to declaw?


Do you plan on keeping your
cat indoors ONLY?

Are you willing to work on
litterbox issues if needed?

How often are you willing
to change the litterbox?
For Dog Adoptions Only
Where will your dog sleep at night?
Do you plan to crate train?

Do you plan to attend Obedience classes?

Can you deal with excessive shedding at least once a year?

Are you willing to work with housebreaking?

How much exercise are you planning to give your dog?

What is the name and phone number of the vet you plan to use or have used in the past?

 

Please list two references that are not related to you ans that do no live with you. Include names, phone numbers and email addressees (if better for contact). Be sure that these people know they will be contacted.

Please provide any further information that you feel would be helpful for your application.

By signing below with my initials, I certify that all the above information is true to the best of my knowledge and I recognize that any misrepresentation will result in the loss of adoption privileges. I understand that the people named in the application, landlords, veterinarians, references, etc will be contacted. I also understand that Shelter From The Storm will contact me after processing the application, which can take time. During this time I will reconsider my lifelong commitment to the animal that I have selected. Enter your initials here. This qualifies as your signature.



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