Pre-Adoption Application (Page 2 of 2) in pdf

Pre-Adoption Application Page 2

Does anyone in the household have animal allergies? YES NO

Will the pet be:

INDOORS

OUTDOORS

BOTH

How will it be conﬁned to your property when outdoors?

KENNEL

FENCED YARD

INVISIBLE FENCE

LEASH

TIE OUT

How much time will the pet spend with no one home?

1-4 hours _______ 5-10 hour __________ Other _______________

Where will your pet stay when you are not home? ___________________________

Where will the animal stay at night? ______________________________________

Will this animal be:

Child’s Pet!

Gift!

Family Companion!

Hunting!

Working/Farm

Companion for other pet! !

Other, Explain: ______________________

Can you afford veterinary care, heartworm medicine, ﬂea preventive, grooming,

emergency expenses, supplies and food for the life time of the pet?

These can add up to hundreds of dollars each year.

! !

YES

Pets making the transition form shelter to a new home need time to adjust to a new family

and may require house training and behavior training. Are you willing to provide any

needed training?

YES

What behavior would you be unwilling to work with? ________________________

What reasons might cause you to return this pet? ___________________________

By signing below, I certify that the information I have given is accurate and complete.

Signature: __________________________ Date: ___________ Staff: ____________

Animals Interested in: !

______________________________________

Pre-Adoption Application Page 2