Bobbi And The Strays Adoption Form

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Bobbi and the Strays
Bobbi and the Strays
P.O. Box 170129
Adoption Form
Ozone Park, NY 11417
Tel: (718) 326-6070
Fax: (718) 326-6071
Date: _________________
1) Type of animal you wish to adopt?
Dog
Cat


2) Name of Pet you are interested in adopting? ________________________
3) Why have you chosen this dog or cat? _________________________________________________________________
_________________________________________________________________________________________________
Please explain what you are looking for in a pet? What breed or breeds (mixed breed), personality, energy level, size, age,
etc. ________________________________________________________________________________________________
____________________________________________________________________________________________________
Your name: ____________________________________
e-mail address: _________________________________________
Address: _______________________________________________________________________________________________
Home phone #: ____________________ Work phone #: ______________________ Cell phone #: ____________________
4) Do you currently have any cats?
Yes
No
How many? __________


a. Are they spayed/neutered?
Yes
No


b. Are they declawed?
Yes
No


c. Are they indoor or outdoor pets?
Indoor only
Outdoor only
Indoor/Outdoor



5) Do you currently have any dogs?
Yes
No How many? __________


a. Are they spayed/neutered?
Yes
No


b. Are they indoor or outdoor pets?
Indoor only
Outdoor only
Indoor/Outdoor



6) Have you ever owned a dog or cat before?
Yes
No


Cats?
Yes
No
Dogs?
Yes
No




Please tell us about this pet/these pets. _________________________________________________________
_________________________________________________________________________________________________
7) Have you ever had to give up a pet?
Yes
No


8) Why? ___________________________________________________________________________________________
9) Where did you bring them/leave them? ________________________________________________________________
Name of your vet clinic: ________________________________________ Phone #: _____________________
Name of your veterinarian: _____________________________________
If you do not have a veterinarian right now – please list the one you will be using after you adopt.
10) Do you own OR rent?
Own
Rent


Type of Dwelling:
Apartment
Co-op
Condominium
House
Other
_______________________
11) If renting, do you have permission to have a pet?
Yes
No


Landlord’s name: _____________________________ Phone #: _________________________
Landlord’s address: _________________________________________________________________________
12) Do you have access to a yard?
Yes
No
Fence Height: ___________________


13) Do you have screens on ALL of your windows?
Yes
No


?
14) Will your adopted pet be allowed outside or will it be indoors only
Indoor only
Outdoor only
Indoor/Outdoor



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