Save Astray Adoption Application

Save aStray Adoption Application

Date:______

Name of pet you are interested in adopting:______

Applicant Name: ______

Street Address: ______

e-mail:______

City:______

State: ______Zip:______

Cell phone:______

Home phone:______

Work phone:______

Place of Employment:____________

Are you at least 21 years of age? Yes No

Do you own or rent your home? Own Rent

Is it a house, apartment, condo..?______

If you rent, is there a pet policy and deposit? Yes No

If you have lived at this address less than 2 years, please list previous address

Street Address:______

City______

State______Zip______

Do you have a fenced yard? Yes No

How tall? ______Type of fencing?______

How many people live in your household?______

Ages of children?______

What made you decide to adopt a pet?______

What sparked your interest in this particular pet?______

Is this your first experience with a dog or cat? Yes No

How long since you had a puppy/kitten? ______

What activities do plan to engage in with your pet?______

Where will your pet be kept during the day? ______

At night? ______

Have you considered and prepared for the financial need of your pet (monthly heartworm and flea prevention, food, vet visits…)? Yes No

How much do expect this to be?______

How many pets do you currently have?______

Are they spayed or neutered?______

Are your pets on heartworm and flea prevention? _____

Please list the prevention used?______

Who is your veterinarian?______

Veterinarian phone number______

Please list all current pets:

1) Name:______Breed:______Age:______