Guardian Angels Humane Society Adoption Application

Guardian Angels Humane Society Adoption Application

Interested in which pet? _________________________ DATE____________________

LIST NAMES AND PHONE #S OF ALL ADULTS IN HOME:

Name ________________________________________Phone#______________________

Name________________________________________Phone#______________________

ADDRESS________________________________CITY________________ZIP________

Email Address _____________________________________________________________

Do you: _____own home have a fenced yard? ___yes ___no

_____rent home _____rent apartment/mobile home

_____own mobile home

How long have you lived at your present address?_______________________________

If renting, you must have permission from your landlord before adopting a pet.

Landlord's Name__________________________________________Phone___________________

List employment status of each adult in the family.

Employer________________________How long?________Job Title______________

Employer________________________How long?_________Job Title_____________

If you do not work, how do you plan to pay for your pet's food and medical care?

________________________________________________________________________

Are you a student _____yes _____no Do you live at home with your parents? ________

Please list the number of children living in your home & their ages.__________________

_________________________________________________________________________

OVER

Are you willing to be responsible for this pet for his/her entire life (perhaps as long as 15 or 20 years)? _________________________

If you cannot keep the pet, do you promise to contact the Guardian Angels and return the pet to them?________________________

Will you respond to phone calls from the Guardian Angels within one week about the welfare of an adopted pet?________________________________

List your current pets:

_________________________________________________________________________

________________________________________________________________________

Are your current pets spayed/neutered? __________ Are they up to date on shots? _____

Who is your veterinarian? ___________________________________________________

Phone # of your vet________________________________________________________

List the pets that you have had in the last five years that you no longer have:

Pet_______________________Reason you no longer have this pet __________________

Have you ever surrendered a pet to an animal shelter? ______yes ______no

If yes, why? ______________________________________________________________

If adopting a cat or a rabbit, do you agree to keep him/her strictly indoors? ____________

If adopting a dog, do you agree to keep him/her in the house the majority of the time?

________________________________

Do you understand that the Guardian Angels will take legal steps to reclaim the

adopted pet if information you give on this application is falsified?

_____________________________