Adoption Application Form - Unleashed Pet Rescue And Adoption (Page 2 of 2) in pdf

Adoption Application Form - Unleashed Pet Rescue And Adoption Page 2

How did you hear about us?_____________________

Have you ever adopted from us before? Yes No

If yes, do you still have the pet? Yes No

Will this be a pet be an inside or outside pet?_________________________ Do you have a fenced yard? Yes No

If yes, what kind and how tall?:_______________ Where will this pet be kept during the day?____________________

How long will this pet be left alone during day?___________________________________________________________

Age preferred?___________ Oldest you would consider adopting?____________ Sex of dog/cat you prefer? M or F

Dog/Cat you are interested in?_______________________________

What are your particular preferences for a dog/cat, such as: “doesn't get on furniture”, “must like cats”, “must like

dogs”, “good with children”, etc.? _____________________________________________________________________

What will you do if your dog/cat is destructive while alone?________________________________________________

List unacceptable behavior issues:_____________________________________________________________________

How will you discipline your new dog/cat?______________________________________________________________

Would you attend obedience class with your new dog?

Y or N

What would justify getting rid of a pet?_________________________________________________________________

List all of the pets currently in your household and the ones you have had in the last 5 years

Name

Breed

Spayed/Neutered

Age

What happened?

1._________________________________________________________________________________________________

2._________________________________________________________________________________________________

3._________________________________________________________________________________________________

4._________________________________________________________________________________________________

Veterinary Clinic Name:_____________________________________________ Phone #:_________________________

OFFICE USE ONLY

REASON FOR DENIAL:____________________________________________________________________________

Approved/Denied by:____________________________________________Date:_______________________________

- 5918 Broadmoor, Mission, KS 66202 - 913-831-PETS -

Adoption Application Form - Unleashed Pet Rescue And Adoption Page 2