Adoption Form

* = required field

Please answer the following questions thoroughly and honestly.

Name*

First Last

Address (physical)*

Street Address City State ZIP Code

Home Phone*

Cell Phone*

Email*

Place of employment*

Hidden

Occupation

Reason for adopting?

Concerns about adopting

Current Veterinarian*

Veterinarian Address*

Street Address City State ZIP Code

Veterinarian Phone Number*

Name of the animal you are interested in adopting*

Current or Previous Pets

Previous Animals Type/Breed

Pet's Name

Age

Fixed?

Gender

Still Have?

If no, what happened to this animal

Type/Breed

Pet's Name

Age

Fixed?

Gender

Still Have?

If no, what happened to this animal

Type/Breed

Pet's Name

Age

Fixed?

Gender

Still Have?

If no, what happened to this animal?

Household Information

Do you own or rent your home?*

Type of dwelling:*

House (neighborhood)
House (with acreage)
Condo
Mobile Home

Length of time at this address?*

Landlord's Name (required if renting)

First Last

Landlord's Phone

If you move, what will you do with your dog/cat?*

Number of adults in your household?*

Please describe the occupation of each of the adults*

Number and ages of children in household?*

Is everyone living in your household in agreement with adopting this pet?*

Does anyone living in your home have any allergies to animals or animal dander of any kind?*

Who will be responsible for your companion animal (feeding, walking, cleaning up, etc.)?*

Do you have a fenced in yard? If no, where will your dog relieve him/herself and exercise?*

Are you able to provide care for your companion animal when you are away from home? If yes, how?*

Dogs/cats can live up to 15 years, and become ill or injured. Are you prepared to take responsibility for your companion animal for his/her entire lifetime, including financially?*

It may take your dog/cat up to 6 months to adjust to a new home, are you willing to allow this much time for adjustment?*

Are you willing to provide professional dog training if needed? **

How many hours a day will your companion animal be left alone?*

Where will your dog stay when he/she is home alone?*

Will s/he be crated during this time?*

Are you willing to pay for a dog walker if necessary?*

If your adopted animal is less than 6 months old how will you handle house training (if needed)? Please provide detail.*

How would you discipline your dog if he/she misbehaved/chewed household items?*

Please explain in DETAIL your feelings regarding spay and neuter. You must be thorough in your response or you will not be considered for adoption.*

How will you exercise your dog and how often?*

Where will your pet sleep?*

Where will your pet NOT be allowed?*

Under what conditions would you NOT keep your pet? (please explain)*

Do you travel frequently?*

Yes
No

Will your pet go with you?

Yes
No

Have you, or any member of your household ever violated any local state or federal law or regulations involving the inhumane treatment of animals?*

Please read the following disclaimer before submitting your application.

Name

First Last

Date

Animal Rescue Front reserves the right to deny any adoption we deem unsuitable. The adoption is a transfer of guardianship, and the animal adopted shall not be sold, leased, loaned, bred, or used in any manner for financial gain, or for any other reason other than companionship. By signing this application you are also agreeing that should there be any reason you would have to surrender your animal you are obligated to surrender the animal to Animal Rescue Front, Inc. or one of our representatives. Please sign in the following box. Thank you!

Please Initial Here*

Any animal adopted by Animal Rescue Front, Inc. must be spayed or neutered (if not already) by 6 months of age. A $60 reimbursement is available to you once we receive proof of surgery.

Please Initial Here*

I certify that all statements made by me on this adoption application are true and correct. I acknowledge falsification of any information on this application can result in my being denied adoption of an animal or confiscation of an adopted animal. By signing this document I am also agreeing to return the animal to Animal Rescue Front should I deem this adoption unsuitable for the animal or if my ability to adhere to the requirements herein change. I recognize that all adoption fees are non-refundable once the animal has been formally adopted. By checking this box you certify that all statements are true and correct.

Please Initial Here*

Adoption Form

Adoption Form

Current or Previous Pets

Household Information

Please read the following disclaimer before submitting your application.

Help us make sure everyone of these precious animals receive the love and support they deserve and so desperately need.

Animal Rescue Front • PO Box 1654 North Eastham, MA 02651