CASTOFF PET RESCUE ~ ADOPTION APPLICATION
Red fields are required
Dog Name:
Date:
Name:
Phone (###-###-####):
Cellphone (###-###-####):
Address:
City:
State:
Zip Code:
Email:
Age:
Employer:
Marital Status:
- Select -
Single
Maried
Divorced
Widowed
Type of Housing:
- Select -
Apartment
Mobile Home
Single Family Home
Duplex
Town Home
Rent
Own
If renting, name and phone of the landlord:
If renting, are you aware of any deposits that are required for your pet?
If renting, does your lease/rental agreement allow for pets?
How many children in the houshold?
Ages:
How long have you lived at present address?
Are you planning to move in the near future?
Why do you want to adopt this pet?
What other pets do you currently have in your household?
Are they spayed /neutered? If not, why not?
How long have you owned them?
Where are they kept?
Where will your new pet be kept?
Where will it sleep?
Do you have a fenced yard?
Approximately how large an area is fenced?
How long will the pet be alone each day?
Where will it stay while you are working?
What will you do with your pet if you travel?
Do you travel often?
How will you provide for this pet's exercise/toilet needs?
How will you train your pet?
If your living situation were to change, (such as divorce, relocating, death), who will be responsible for
the care of this animal?
Please explain any recent deaths of any of your pets:
Would you allow a representative of Castoff Pet Rescue to make a home visit?
Can we call your vet for a reference?
Veterinarian's Name:
Veterinarian's Address:
Veterinarian's phone #:
I certify that the above information is accurate and complete to the best of my knowledge. I understand that Castoff Pet Rescue has a right to reclaim the animal if any information is false and/or if the animal is not being properly cared for. I authorize the release of veterinary information related to current and past pets that I have owned. This application is the property of Castoff Pet Rescue.
