Are you both capable and willing to make a lifelong commitment to the care of this pet?
Personal Commitment
Name of the pet you are interested in adopting:
Personal Information
Phone Number
May We Text You?
Your Address
Your Date of Birth
Household
Your Name:
If you rent does your lease allow pets?
What type of residence?
Do you rent or own your home?
Adults in Your Household (Other than Yourself)
Please give a name and age of each adult living in your household (Enter 'none' if applicable)
Address
Children in Your Household
Please give a name and age of each child living in your household (Enter 'none' if applicable)
Reference #1
Name
Phone Number
Your Relationship to Reference
Current Veterinarian (If Applicable)
Veterinarian's Phone Number
Hospital Name
Veterinarian's Name
Has anyone in your household been convicted of a child or animal welfare law violation, including but not limited to neglect, cruelty, or abandonment?
Past and Present Pets
What would you do if the pet is destructive? (noisy, scratching, chewing, house soiling)
List out your past and current pets! What type of pets are they? How old are they? And where are they now?
Have you ever surrendered a pet? If so what was the reason?
I certify that the information given on this application is true and complete. I also understand that falsified information or significant omissions may result in my disqualification from this and future adoptions from the Yeager Co. Animal Liberation Rescue. I hereby agree to hold the Yeager Co. Animal Liberation Rescue, their trustees, executive director, board of directors, employees, agents, volunteers, and assigns harmless from any and all liability on account of any personal injury or illness that I, my family members, or my pets may sustain, or damage to my property while interacting with an animal or animals. I agree to abide by all rules and regulations set forth by Yeager Co. Animal Liberation Rescue, written, spoken, and implied. I understand that this adoption may be denied for any reason deemed fit byYeager Co. Animal Liberation Rescue. I understand that there are no refunds on adoption fees. I understand that there may be a home check prior to adoption, and welfare check(s) after adoption.
Who would assume responsibility of this pet if you were no longer able to take care of them?
Adoption Form
Please provide a brief description of your experience with this particular type of furry friend. If you haven't had any experience, please share the research you've done
Please describe what cage or living circumstances this pet will be living in
Have you ever had to put a pet to sleep for any reason other than incurable illness? If so what were the circumstances
Why are you interested in adopting this animal?
References Outside of Household
Life with your Pet!
Where will this pet primarily reside?
Certify and Complete Information
We appreciate your interest in adoption! Kindly remember that completing the adoption application does not assure adoption. Adoption applicants must be at least 18 years old.
Date & Submit
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