Pre-Adoption Form Father John'S Animal House
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2Pre-Adoption Form
Father John’s Animal House
50 Father John’s Lane • Lafayette, NJ 07848
Phone: 973-300-5909 • Fax: 973-579-6010
Print Name:
How did you hear about us?
Referred by
Street:
City:
Internet
Newspaper Ad
State & Zip:
Phone# (home)
Phone book
Drive-by (
Phone# (work)
saw sign)
Email Address:
Other (
please specify)
Form of ID Provided:
1. What type of pet do you want to adopt?
Dog
Puppy
Cat
Kitten
2. Please specify any preferences you may have for the following:
/F
(when grown)
BREED OR TYPE
MALE
EMALE
AGE RANGE
LENGTH OF HAIR
SIZE
3. Is this your first pet?
Yes
No
4. If you answered “No” to #3, when did you last have pet? _________________________________________
5. Have you ever adopted from us before?
Yes
No If yes, what did you adopt and when?
_______________________________________________________________________________________
6. Have you ever brought an animal to us?
Yes
No If yes, what did you bring, when, and why?
________________________________________________________________________________________
______________________________________________________________________________________
7. Do you currently have any pets yet home?
Yes (please complete table below)
No (please go to #8)
’
A
-
PET
S NAME
TYPE
BREED
AGE
LICENSED
LTERED
UP
TO
WHERE
WHERE
(
/
)
(
/
)
?
YES
NO
YES
NO
DATE ON
KEPT DAYS
KEPT
?
SHOTS
NIGHTS
(
/
)
YES
NO
8. Who is your veterinarian? Name: _____________________________________
Phone: _____________________
9. Are you financially prepared for routine vet care and emergency medical care?
Yes
No
10. Do you live in:
house
apartment
other
for how long?
________________________________
11. Do you:
own?
rent?
If you rent, does your lease allow pets?
Yes
No
Landlord’s name and phone number _______________________________________
Please provide copy of lease
___
12. How many people live in your household? _____________ List the ages of children
_________________________
13. Do children regularly visit your household?
Yes
No If yes, list their ages _________________________
14. Is anyone in your household allergic to animals?
Yes
No
15. Is anyone home all day?
Yes
No
How many hours a day will the pet be left alone? ______________
Where will it be kept when it is alone? ________________________________________________________________
16. In general, where will the pet be kept during the day? ______________________________________________________
17. Where will the pet sleep at night? ____________________________________________________________________
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Pre-adoption form
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