Adoption application New Template2editable .pdf

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Original filename: Adoption application New Template2editable.pdf
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Silver Lake Animal Rescue League, Inc. Adoption Application
Pet to be Adopted
Pet’s Name:

Pet’s Description:

Date of Application:

Pet Type (cat or dog):

Is anyone in the household allergic to this type of animal:

Are all members of your household in agreement with the adoption:
How many children living in the house and what are their ages:
Why do you want to adopt this pet? Please mark all that apply with an “X”
Animal Lover:
Too Cute:

Couldn’t Resist:

Companionship:

Reminds you of previous pet:

To Breed:

Teach my children responsibility:

Favorite breed or color:

Functional duty (watch dog):

Felt sorry animal was victim:

As a gift

Gift for Whom:

Will anyone be home during the day for the new animal:
Can you afford to feed and provide regular veterinary care:
Where will the new animal be housed: Please mark all that apply with an “X”
Yard:
House:

Both:

If you marked both, what outside shelter will be provided for the new animal: Please mark all that apply with an “X”
Barn:
Shed:
Dog House:
Kennel:

Fenced Yard:

Other:

Phone:

Email:

Date of birth:

Phone:

Foster Parent Information
Foster Parent Name:

Applicant Information
Name:
Are you over 18:
Current address:
City:

State:

Do you Own or Rent:
How Long?

House:

Mobile Home:

ZIP:
Apartment:

Condo:

Is your yard completely fenced in?

Other:

Fence Type:

Email Address:

FOR RENTERS ONLY (if you own your residence please leave this section blank)
Landlord’s name:

Phone:

Are pets allowed:

Restrictions:

Pet Deposit Amount (if required):

Employment Information
Current employer:
Employer address:

How long?

City:

State:

Position:

Phone:

ZIP:

Emergency Contact
Name of a person not residing with you:
Address:
City:
Relationship:

State:

ZIP:

Phone:

Co-applicant Information, if applicable
Name:
Are you over 18:

Date of birth:

Phone:

Current employer:
Employer address:

How long?

Phone:

E-mail:

City:

State:

ZIP:

Your Pet History
How many pets do you currently own:
Breed
Sex

Age

Spayed/Neutered

Temperament

If you have an animal in your residence now, have you ever introduced it to a new animal:
If yes, how did your current animal react: Please mark all that apply with an “X”
Favorable:

Difficult adjustment:

Indifferent:

Other:

Have you owned this type of animal (dog, cat, etc.) before:
If you owned any type of animal before, what happened to it: Please mark all that apply with an “X”
Still Have:

Passed:

Date:

Other:

Have you ever adopted an animal from a rescue league, humane society or animal shelter before:
Approximate Date:

If yes, which one:
Who is your regular/previous veterinarian or what vet will you use:

Vet:

Doctor:

Phone:

City:

Do you agree to have annual checkups and all vaccinations administered by a licensed veterinarian:

References
Name:

Address:

Phone:

THE AMOUNT THAT YOU HAVE BEEN ASKED TO PAY AT THE TIME OF THIS ADOPTION IS A NONREFUNDABLE FEE MEANT TO PARTIALLY REIMBURSE THE ‘SILVER LAE ANIMAL RESCUE LEAGUE, INC.” FOR
VET CARE, FEEDING AND HOUSING. THE “SILVER LAKE ANIMAL RESCUE LEAGUE, INC.” IS A NON-FUNDED,
501c3, NON-PROFIT ANIMAL RESCUE ORGANIZATION.
THANK YOU!!
SILVER LAKE ANIMAL RESCUE LEAGUE, INC.
Please save this document and return this application to Silver Lake Animal Rescue League, Inc. at:
slarl@yahoo.com or direct to the foster email address if one is provided.

I swear that I have answered all of the above questions truthfully to the best of my knowledge.
Signature of applicant:

Date:

Signature of co-applicant:

Date:

Witness ((SLARL Representative):

Date:


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