All 4 Animals Rescue

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Desired Pet(s)

Type of pet (for example: bird, cat, dog, kitten, puppy, rabbit, etc.):
If a specific pet has already been selected, what is their current name:

Applicant Information

Today's date:
Full Name:
Street Address:
City: State: Zip:
Home Phone: Email:
Work phone:
Occupation: Hours worked:
Why do you want to adopt an animal:

Do you rent or own your home:
If you rent, do you have your landlord's permission to have a pet (Yes/No):
If applicable, your landlord's name:
Landlord's number:
If there are children in the household, what are their ages:
Does anyone in the house have pet allergies (Yes/No):
If yes, what is your plan to deal with allergies:

Current Pets

Do you currently have any pets? If so, please list the type, age, and gender of each pet:

If so, are their vaccinations current (Yes/No):
If you have pets, are they spayed or neutered (Yes/No):
If the answer to either of the above is "no", why not?:

Please list three references. Only one may be a family member.

Reference #1 Name:
Relationship: Number:

Reference #2 Name:
Relationship: Number:

Reference #3 Name:
Relationship: Number:

General Questions

If applying for a dog, is your yard completely fenced? (Yes/No):
If applicable, please describe the fence (type & height):

Where will the animal sleep at night:

How many hours during the day will the animal be left alone:
Are you familiar with and willing to abide by the Animal Control laws of your township, municipality, or county, including licensing (Yes/No):
May we contact your veterinarian (Yes/No):
Street Address:
City: State: Zip:
Where will the animal be while you're on vacation:

Will you be able to groom the animal (Yes/No):
If applying for a dog, and if necessary, are you willing to take the animal to obedience class (Yes/No):

Things To Consider

Are you aware that a visit to your home may be required before adoption and could possibly take place on a random basis after adoption? (Yes/No):
Are you aware that unknown behavior problems could exist or may develop? (Yes/No):
Do you understand that all household pets need to go to the veterinarian on a yearly basis for checkups? And that some animals need to be on monthly heartworm preventative? (Yes/No):
Pets can live 15 years or longer. Can you commit to caring for this animal for that period of time or more? (Yes/No):
Are you physically and financially able to care for this animal? (Yes/No):

Additional Comments:

Disclaimer Acknowledgement and Acceptance

By submitting this form, I agree that I have read the above information carefully and I certify that my answers are true and complete to the best of my knowledge. I also understand that omission of information and/or failure to answer all questions can result in this application being declined. Also, if an omission or untruth is discovered after an application takes place, I understand and accept that All 4 Animals Rescue, Inc. has the right to annul the adoption and reclaim the animal.

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