ADOPTION APPLICATION

QUICK LINKS

Please fill out the application to the maximum you can. If you do not have an answer, or are unsure how to answer a particular question, please leave blank, and when contacted, we will clarify if need be.
Thank you for your interest, we appreciate your understanding that adopting an animal is not something to be taken lightly. We will contact you as soon as we receive the application, and have a chance to do an initial review.

  First Name   
  Last Name   
  Address  
  City   
  State  
  Zip Code 
  Home Phone  
  Work Phone  
  Cell Phone  
  E-Mail




  Spouse/Partners Name 
  Your Employment 
  How Long? 
  Spouse/Partners Work 
  How Long?




  # Of Adults In Household 
  # Of Children In Household 
  Are They Aware You Are Considering A Family Addition? 
  YES NO
Do They Approve?
YES NO
	               
  What other pets are in your household? 
  How many of each? 
Dogs? 
Cats? 
Others? 
Are they neutered and vaccinated?
YES
 NO




Have you ever had any animal put down?
IF Yes, Why? 
          
      

	     
Have you ever had to rehome any animal?
IF Yes, provide details:
          
      

	  
Type of Residence:HouseApt.TownhouseCondoMobile HomeFarm
Do you: Own Home? Rent? Lease? Live With Family?                                  
If Rental, are pets allowed?
 YES
 NO
 
Type of street residence is on:
Very Busy Road
Some Traffic
Residential Road
Country/Dirt Road




Where will the new pet live?
Inside
Outside
Mostly Inside
Mostly Outside
In and Out by Choice




Do You Consider Your Pets A Member of Your Family?
Yes
No 
    
What Happened To Your Last Pet?




Please Provide 2 References:
Name, and Phone Number


Name, and Phone Number


Your Veterinarian:
Name, and Phone Number




How Did You Hear About Us?

It is advisable that any rescue animal is given at least 3 months to settle into it's new surroundings. You may or may not endure chewing, accidents, and unsettled behaviour with the new pet. All vaccinations must be kept up-to-date yearly, and the pet must NEVER be passed on, or rehomed by yourself. If necessary, ALWAYS contact Merry Angel Animal Rescue with ANY problems.