Easel Animal Rescue League Adoption Application printable pdf download

EASEL Animal Rescue League

P.O. Box 5903

easel

Lawrenceville, NJ 08648

ADOPTION APPLICATION

Phone: 609-883-0540

Fax: 609-631-8038

Please answer all questions, place N/A where not applicable. All applications are

animal rescue league

screened by EASEL and are subject to approval by authorized EASEL staff.

APPLICANT INFORMATION (please print)

Please check one: I ADOPTION I FOSTER

Name: __________________________________________ Phone: (_____)________________ Date of Birth: ________________

Address: ________________________________________ City: __________________ State: ______ Zip: __________________

Driver’s License (or ID) Number: _________________________________ Email: ________________________________________

Status:

home/retired

student

employed company/school: __________________________________________________

I I

Lifestyle:

I I

very active/on the go

I I

quiet/relaxed

I I

noisy/young children

I I

travel frequently

I I

entertain frequently

Reason for Adoption:

family pet

companionship

protection

other (explain): ___________________________________

I I

Have you adopted before?

yes

no if yes, agency: ___________________________________________________________

I I

Residence:

I I

house

I I

apartment

I I

live with parents

I I

other (explain): _____________________________________________

Do You:

own

rent if renting:* landlord: ________________________________ phone: (_______) ____________________

I I

Where will the animal be kept?

I I

indoors

I I

outdoors If outdoors:

I I

kennel

I I

tied

I I

fenced yard (fence height:__________)

Travel options:

pet sitter

friend/relative

boarding

travel w/pet

other (explain):_______________________________

I I

Time at current address: ___________________ Ages of children (if any): ___________________________________________

References (provide 2): name: _____________________________________________ phone: (_______) ____________________

name: _____________________________________________ phone: (_______) ____________________

How did you hear about EASEL?: _____________________________________________________________________________

I am interested in:

I I

volunteering

I I

fostering

I I

donating

I I

working on events/fundraisers/projects

I I

more info on EASEL

ANIMAL INFORMATION (please print)

Animal Name: ____________________________________

cat

dog

altered

to be altered

foster

shelter

I I

Will animal be used for breeding?

yes

Do you have any pets currently?

yes

no How many? _______________

I I

Have you had this type of pet before?

I I

yes

I I

no if yes:

I I

still have

I I

deceased

I I

gave away

I I

ran away

I I

lost

I I

stolen

Is anyone home during the day?

yes

no How long will the animal be left alone: __________________________________

I I

For cats, I will:

declaw

keep cat indoors

keep cat outside

allow cat to go out during the day

I I

VETERINARIAN HISTORY IF APPLICABLE (please print)

Veterinarian: ______________________________________________________________ phone: (_______) _________________

Pets: name: ______________________

I I

dog

I I

cat

I I

other: _____________

I I

spayed/neutered

I I

declawed age: ______

name: ______________________

dog

cat

other: _____________

spayed/neutered

declawed age: ______

I I

name: ______________________

I I

dog

I I

cat

I I

other: _____________

I I

spayed/neutered

I I

declawed age: ______

EASEL supports spay/neuter. All pets adopted by EASEL must be altered as a part of the adoption process. In the event that a pet is not altered prior

to adoption, the pet is considered to be in foster with EASEL until the adopter provides verification of spay/neuter. EASEL reserves the right to reclaim

any foster pet at any time. EASEL strongly recommends that a veterinarian examine all adopted pets within 14 days of adoption. EASEL will not adopt

a pet to a property where there is a prohibition against owning a pet by an owner, landlord, homeowners association, apartment manager, etc.

Signature: ______________________________________________________ Date: _______________________________________

EASEL approval: __________________________________ Foster/Caretaker approval: ____________________________________

0611

Easel Animal Rescue League Adoption Application

Related Articles

Related forms

Related Categories