CAT'S NAME:
NAME: HOME PHONE:
STREET ADDRESS:
CITY:
STATE: ZIP CODE:
HOUSING HOUSE APARTMENT CONDO MOBILE HOME PARK
LANDLORD OR MANAGER PHONE: *if applicable
YOUR FAMILY IS THIS PET FOR YOU? YES NO IF NOT, WHO IS IT FOR?
NUMBER OF PEOPLE IN HOUSEHOLD?
DOES EVERYONE IN THE HOUSEHOLD AGREE TO THIS ADOPTON? YES NO
DOES ANYONE IN THE HOUSEHOLD HAVE PET ALLERGIES? YES NO
WHO WILL BE THE PRIMARY CARETAKER OF THIS PET?
HOW WILL YOU HANDLE DESTRUCTIVE BEHAVIOR?(BITING,SCRATCHING.ETC)
YOUR PETS
LIST ALL PETS YOU HAVE OWNED IN THE LAST 5 YEARS:
WHERE ARE THEY NOW? (PLEASE EXPLAIN)
CURRENT PETS:
WHO IS YOUR CURRENT VET?
VET'S PHONE NUMBER?
ARE THEIR SHOTS UP-TO-DATE? YES NO
ARE THEY SPAYED/NEUTERED? YES NO
YOUR HOME
DO YOU HAVE A YARD? YES NO
WILL YOUR NEW PET HAVE ACCESS TO YARD? YES NO
WILL YOUR NEW PET LIVE: INSIDE, BUT MAY GO OUT IF IT WANTS OUTSIDE, BUT MAY COME IN DURING BAD WEATHER INSIDE ONLY OUTSIDE ONLY
EVENTS WHAT WILL YOU DO WITH YOUR PET WHEN YOU GO ON VACATION?
WHAT WILL HAPPEN IF YOU MOVE?
WHAT WILL HAPPEN IF A FAMILY MEMBER DEVELOPS ALLERGIES OR SOME OTHER UNFORESEEN CIRCUMSTANCE OCCURS?
WE APPRECIATE YOUR INTEREST AND TIME IN FILLING OUT THIS APPLICATION. YOU CAN PRINT THIS FORM OUT AND MAIL/FAX IT IN, OR YOU MAY HIT "SUBMIT" TO SEND VIA EMAIL. WE WILL CONTACT YOU AS SOON AS YOUR APPLICATION HAS BEEN PROCESSED. SINCERELY, ELIZABETH LAKE ANIMAL RESCUE
