Emily’s Little Treasures
A division of Bandit’s Place, Inc., Animal Rescue
Application for Adoption
ALL questions must be answered or application will be rejected – Sorry!
Date:
Animal interested in: Why:
Are you familiar with the type of animal?
If so, how:
Names (first & last) of all persons living in the home:
Complete dates of birth:
Does anyone in the home smoke? (some pets are allergic)
Complete address (street, city, state, zip):
Home phone number:
Cell phone number:
Email address:
House, apartment or condo:
Name and phone number of association for condo / owned apartment:
Own or rent: How long there:
If rent, name and phone number of landlord:
FOR EACH ADULT IN HOME:
Place of work:
Occupation:
Phone number:
Email address:
How long there:
Animals you have NOW: (name, breed, age, sex):
How long have you had them?
How do they get along with other animals:
Animals you’ve had BEFORE: (name, breed, age, sex):
What happened to them (died, gave away, etc)
When did this happen:
Ever give a pet away: Explain circumstances:
Name of veterinary hospital pets are / were seen:
Phone number:
Person’s name the account is under:
PLEASE CONTACT THE VET HOSPITAL TO OK RELEASE OF RECORDS INFORMATION
All pets (past / present) spayed or neutered?
If not, why?
REFERENCES: (three are required)
Name and phone for person NOT related to you:
Name and phone for person RELATED to you:
Name and phone for NEIGHBOR:
Have you or any member of your family or home ever been cited for violation of law regarding pets or animals in your care?
If yes, please explain:
Where will this animal be kept (inside / outside):
Where in the home will this animal be kept:
Will this animal be allowed out of cage time:
Ages of the children that will be in contact with this pet on a regular basis:
Do they have experience with this type of pet:
Any asthma / allergies to animals: How severe:
What do you do with your pets when you go on vacation?
Does everyone in the home want a new pet?
Are you willing to give the pet a month in your home to adjust?
What would make you return a pet?
If you had to move what would you do with this pet?
Have you ever applied to Bandit’s Place before (for any type of animal)?
If so, when?
Have you ever applied to another rescue (for any type of animal)?
If so, which one? When?
What happened?
Who was the contact person (name, phone number or email):
Please be advised that completing an application for Bandit’s Place does not mean that you will be automatically approved for adoption or that the animal you are considering will be reserved for you. There is no fee for completing an application. There is, however, an adoption fee. Bandit’s Place reserves the right to accept or deny applications without explanation to the applicant. Each animal’s needs are taken into consideration and Bandit’s Place reserves the right to place the animal in the most appropriate home, according to standards that may or may not be listed on this application.
I have read and understand the above statement:
Thank you for your interest in our pets!!! We will be in touch as soon as we can. As we are all volunteers, please understand that we have regular jobs during the day and that we might not be able to get back to you right away.