Pet Adoption Application Lee County Domestic Animal Services Page 2
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1
2□ Browsing
□ Today
□ 1-2wks
□ 2-3 months
□ Unsure
How soon do you plan to adopt?
□ First time pet owner
□ Owned pet(s) in the past, __ years ago
□ Currently own pet(s)
Are you a:
If you currently own pets, what is your pet’s temperament/characteristic?
__________________________________________________________________________________________________
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Are you interested in introducing your current pet(s) with adoption pet to ensure compatibility before adoption?
□Yes □No If no, why:
Does anyone in the household have animal allergies □Yes □No If yes, specify:
□ Watchdog
□ Companion
□ Hunter
□ Breeder
□ House Pet
□ Mouser
I want this pet to be
□ Companion for other pet
□For the children
□ Other ___________
□Male
□Female
□ No preference
Gender:
What breed(s) are you interested in adopting?
What characteristics/personality traits are you looking for in a pet? (Check all that apply)
□Cuddles
□Depends on me
□Easy going/relaxed
□Friendly with kid(s)
□Friendly with pet(s)
□Full of energy
□Hypoallergenic
□Independent
□Leash Trained
□Low maintenance
□Laid back
□Playful
□Runner/Hiker
□Shy
□Trainable
□Trained
□Travels
□Other____________
How will you train your pet?
How often will you exercise
How will you exercise your pet?
your pet?
Do you have access to a yard?
Is the yard:
Type of Fence:
□Yes
□No
□Open
Approx. size yard:
Height of Fence:
□Fully enclosed
Who will be responsible for the pet?
How will a pet fit into your daily schedule?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
□ Low
□Medium
□High
□No preference
What activity level are you looking for in a pet?
□Noisy
□Quiet
□Live alone
□Adults only, no children
Which best describes you family’s lifestyle?
□Visitors frequently
□Children have friends over a lot
□Travel frequently
□Other __________
How much time are you willing to invest in training if your pet develops behavior issues?
□ Train myself
□ Plan to go to training classes
□ Work with a trainer/behaviorist
□ None
□ Other __________
Additional information you would like to share:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
PLEASE INITIAL BELOW STATEMENTS:
__ I authorize the release of veterinarian information related to my current and past pets.
__ I understand veterinary and nutritional care may cost over $2000 annually and accept this financial responsibility.
__ I understand a pet can live up to 20 years and will be responsible to ensure my pets are cared for upon my death.
__ I understand an inspection of my premises may be conducted by Animal Services.
__ I understand LCDAS reserves the right to refuse any application considered unsatisfactory.
__ I certify that all the information on this application is true and any false information may void this application.
___________________________________
____________________
Signature
Date
(See Other Side)
FOR OFFICE USE ONLY:
Approved: □ Yes
□ No
Date: ________
Initials: ________
P____________
A ____________
Comments:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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