Adoption Form

First Name

Last Name

Animal of Interest

Email Address

Street Address

City

Postal Code

Phone Number

Phone Type

Cell

Home

Work

Names and ages of all residents of your home.

List any pets living in your home, and if they're vaccinated or altered.

Vet reference (please call your vet and give notice. If you have not been to a vet before, please register with one soon.)

Are you planning to move in the near future?

Yes

When will you be ready to adopt this animal?

Today

This Week

This Month

Is anyone in your home allergic to the animal you're planning to adopt?

Yes

Yes, but it is tolerable for them and they are OK with it.

Are you familiar with this type of animal?

Yes

What best describes your housing type?

Single Family Home

Duplex/Twin

Townhouse

Apartment

Trailer

Do you rent or own this property?

Rent

Own

If you rent, you must give FM468FN Animal Relocation Center a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have this type of animal and showing any limitations. If you live in a condo or townhome, you must show us written proof that you are allowed to have this type of animal there and show any restrictions.

Do you have a yard?

Yard, fenced with a vertical fence

Yard, fenced with invisible fencing

Yard, no fence

No yard

Have you discussed this adoption with all members of your household?

Yes

Yes, adults have discussed. Kids don't know yet.

Please be aware that animals given as gifts for the holiday season are usually returned to shelters or given to pounds after the holidays. With this in mind, please make sure that any animal you are adopting will be a permenant resident.

If applicable, will your children be taught how to play gently and kindly with this animal?

Yes

No Children

Vet bills can be expensive. How do you plan on paying them? (IE: Pet health insurance)

By checking the box below, you understand the terms of this form and adoptee. You hereby agree that you will not use this animal in any sort of fighting, breeding, or cruelty. You will love and care for this animal for the rest of its life, and you are ready to commit to that. You also agree, that if for any circumstances you can no longer provide love and care for this animal, you will contact an admin of the group and explain your situation before taking the animal to a shelter. Any payment made for an adoption fee is non refundable.

I understand the above, and have tried to the best of my knowledge to make sure all information is correct.

Adopter's Signature

Thank you for taking the time to submit this form. Please feel free to contact any of the admins in the 468ARC network. After you click the Submit, you will be redirected to the main page, and you will also recieve a confirmation email. Thank you!

Animal Adoption Form