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ANGELS SANCTUARY
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Pet Name
Adopter Phone Number (Home)
Adopter Name
Adopter Phone Number (Mobile)
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Email
Adopter Employer
Other Sources of Income
Is there a co-adopter (i.e. spouse, roommate, etc.)
Yes
No
Co-Adopter Name
Co-Adopter Phone Number (Mobile)
Co-Adopter Employer
How long have you been at your current address?
Are you allowed to have pets in your home?
Yes
No
Landlord/Manager Name
Co-Adopter Phone Number (Home)
Co-Adopter Email
Co-Adopter Other Sources of Income
Do you rent or own your home?
Own
Rent
Landlord/Manager Phone Number
Landlord/Manager Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Do you have a secure, fenced yard?
Yes
No
If you move to a new home, will you take the pet with you?
Yes
No
Where will you keep the pet?
Inside
Outside
Both
If adopting a cat or kitten, are you planning to declaw?
Yes
No
Not applicable
Is this pet for you?
Yes
No
If no, who is the pet for?
Have you ever had a pet?
Yes
No
Do you still have the pet(s)?
Yes
No
If so, what kind(s) of pet(s)?
Dog
Cat
Other
Explain other(s):
If no, please explain:
Do you or others in your household have any known pet allergies?
Yes
No
Do you or others in your household suffer from asthma?
Yes
No
If yes, please explain:
If yes, please explain:
Do you travel often?
Yes
No
If no, who will take care of the pet while you are away?
Do you plan to take the pet with you when you travel?
Yes
No
Do you have any children?
Yes
No
Pets may scratch or bite, especially a playful puppy or kitten. Would this be a reason to return your pet to the shelter?
Yes
No
Do you have a veterinarian already?
Yes
No
If yes, what are their ages?
Would wear and tear on household items be a reason to return your pet to the shelter?
Yes
No
If yes, what is the name of your vet/clinic?
The lifespan of a dog or cat may be 15 years or more. Are you willing and financially able to care for your pet's food, medical expenses, supplies, etc. for the rest of their natural life?
Yes
No
Do you have someone who will be able to care for your pet if you are unable to for any reason?
Yes
No
Caregiver Name
Caregiver Phone Number
Caregiver Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
How did you hear about us?
Event (let us know which one in the comment box below)
Word of Mouth
Facebook
Website
PetFinder
Adopt-a-Pet
Instagram
TikTok
Other (let us know in the comments box)
Comments on the above:
Adopter Signature
Clear
Co-Adopter Signature
Clear
Date
Date
Submit & Fill out Adoption Contract
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