Pre-Adoption Application printable pdf download

Pre-Adoption Application

Prior to the adoption please complete this application. This information helps the FAHS ﬁnd permanent,

responsible, loving homes for the animals and allows us to better assist you in ﬁnding your perfect pet.

Name: __________________________________________________ Date: _____________________

Address: __________________________________________________________________________

Phone: ___________________________________ Email address: ____________________________

In order to adopt you need to:

___ Be at least 21 years old.

___ Have knowledge and consent of all adults living in your household.

___ Have a valid government-issued photo ID.

___ If renting, have landlords written consent for pet or show a paid receipt for a pet deposit.

___ Understand that the FAHS reserves the right to refuse the adoption of any animal.

Have you owned a pet before? ________ Where is the pet now? _____________________________

How many pets do you currently have?

Cats: ______! Breeds: ________________! Spayed/neutered? ! YES NO !

Ages: ___________

Dogs: ______ Breeds: ________________! Spayed/neutered? ! YES NO !

Ages: ___________

Other: ______! Breeds: ________________! Spayed/neutered? !YES NO !

Ages: ___________

What vet do you use: ________________________________ Phone: ________________________

Year of adoption: __________________

Have you adopted from the FAHS or other shelter: YES NO

Have you ever surrendered an animal to a shelter? YES NO

If yes, why? _________________________________________________________________________

If you have lost any pets with in the past 5 years, what was the cause:

____________________________________________________________________________________

Circle all that apply.

Your Home: OWN RENT HOUSE CONDO

MOBILE HOME

APARTMENT

FARM

If renting, what is landlords name and phone: ______________________________________________

Are you planning to move in the next 6 months? YES NO

If yes, what will you do with your pet? _____________________________________________________

Are there children living in the household? YES

Ages of children: ___________________

Pre-Adoption Application