PLEASE NOTE: WHEN SUMBITTING THIS APPLICATION IT IS IMPERATIVE THAT YOU TYPE A SUBJECT LINE IN YOUR EMAIL. SIMPLY TYPING "APPLICATION FOR ADOPTION" WILL SUFFICE. DUE TO THE VOLUME OF SPAM AND VIRUS ATTACHMENTS RECEIVED, EMAILS WITHOUT SUBJECT LINES WILL BE DELETED AND NOT READ!
To submit your application via e-mail, click anywhere in this wording, from the main menu click EDIT - SELECT ALL, then EDIT - COPY. Click here: e-mail , place your cursor in the body of the e-mail message box which appears and click EDIT - PASTE. The application can then be completed and e-mailed.
COMPANION CRITTERS, INC.
DOG and PUPPY ADOPTION APPLICATION
The following information is requested so we can assist you in the selection of a new pet. The animal's welfare is our foremost concern. The consultation process is designed to help us assist you in finding the animal most compatible to your lifestyle.
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Animal Interested In:
The reason I want this particular pet is:
Are you over 18 years of age?
I am adopting for (please X one):
Myself
Another person
As a gift
I am prepared to adopt the pet (please X one)
Immediately
Within a week
Within a month
Other:
Name:
Address:
City, State, Zip:
Home Phone:
Work Phone:
E-Mail Address:
How did you hear about Companion Critters, Inc.?
If from a newspaper, which one?
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Please complete all of the information. By e-mailing this application, you certify that you understand the following:
1) Companion Critters, Inc. reserves the right to refuse adoption to anyone.
2) The information contained within this application is accurate
and not misleading in any way.
3) Companion Critters, Inc. reserves the right to contact any individual on this form.
Please give careful consideration to adopting a pet. Animals are not toys or short term commitments. Make sure that your lifestyle allows the time, patience and expense this pet will need over the years. Animals for adoption are placed with adopters with full consideration
given to the specific needs of each animal.
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1) Is this your first experience with a pet?
2) Do you currently have other pets at home?
If yes, please list for each pet:
TYPE:
BREED:
AGE:
NAME:
ALTERED?
VACCINATED?
KEPT IN OR OUT?
HOW LONG OWNED?
DOES THIS PET GET ALONG WITH OTHER ANIMALS?
3) Have you had any pets in the past?
If yes, please list for each pet:
TYPE:
BREED:
AGE:
NAME:
ALTERED?
VACCINATED?
KEPT IN OR OUT?
HOW LONG OWNED?
WHAT HAPPENED TO THIS PET?
4) Have you ever taken a pet to a shelter?
If yes, please describe circumstances:
5) Who is/was your veterinarian?
Name:
Address:
City, State, Zip:
Telephone:
Approximately when was your last visit?
Under who's name (owner) are the pet's records?
May we contact your veterinarian?
6) How long have you resided at your present address?
7) Do you currently live in a house or apartment?
8) Do you own or rent?
If you rent, does your lease allow pets?
Landlord's Name:
Telephone Number:
May we contact your landlord?
9) What would you do with a pet if you had to move where pets aren't allowed or if you were no longer able to care for your pet?
10) How many people live in your household?
Do all the adults know you plan to adopt?
If there are any children in the household, list ages:
11) Does anyone in your household have any known allergies to animals?
12) Where will this pet be kept during the day?
Where will this pet be kept at night?
13) Is anyone home all day?
If no, how many hours will the pet be left along in a 24 hour period?
14) Where will it be kept when alone?
15) Are you financially prepared to give your new pet routine and emergency medical care such as rabies vaccinations, inoculations, exams for parasites, ear mites, etc.?
16) Would you object to a visit or call from a Companion Critters, Inc. representative to see how you and your new pet are doing?
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1) Do you want the dog for a (X all that apply)
house pet
guard dog
watch dog
companion
gift
breeder
companion for another pet
2) Do you realize you will probably have to housetrain a dog?
Do you know how to housebreak a dog? Please explain.
3) Are you familiar with crate training?
Do you own a crate?
4) Are you familiar with leash and licensing laws in your community?
5) How will you keep your dog confined to your property (X all that apply)
outside dog pen/dog run
invisible fence
fenced yard
on chain
garage
patio
on leash
other:
6) Do you have a fenced yard?
If yes, how high is the fence?
7) What will you do if your dog chews furniture or shows other destructive behavior?
8) Do you need an explanation of how to introduce a new dog to your current pet?
9) Are you familiar with the feeding recommendations for a dog/puppy?
10) Would you be willing to attend obedience classes?
11) Have you ever obedience trained a dog before?
To help us determine if the dog's activity level is compatible with your lifestyle, please indicate which activities you and/or your family would want to participate in with your dog:
occasional walks
daily walks
hiking
jogging
occasional car rides
frequent car rides
long car trips
camping
agility
obedience competition
boating
swimming
therapy dog visits at hospitals/nursing homes
taking dog to work
other:
We request a minimum donation of $100. The donation is to help us in the rescue effort. Each animal coming through rescue costs us an average of $200 and the rest is made up through donations and fundraisers. Is this acceptable?
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