CARE of Santa Rosa County, FL Inc. Adoption Application

Thank you for considering Adoption. Please be sure to read and answer the following questions with honest and true answers. The submitting of this application does not guarantee or confirm that you are approved for adoption. Once your application has been received and reviewed we will contact you.

Adoption Fee: Dogs: $150 Cats: $75

This fee includes, spay/neuter, vaccinations, and microchip.

Approved Applications, Home Visits and Vet References required on all adoptions!

If you have any questions about this application or in general, please contact us at: CARETOMAKEADIFFERENCE@yahoo.com

Thank you!

Date

MonthDayYear

Which dog/cat are you interested in adopting?

Full Name

First NameLast Name

Drivers License #

Age

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Home Phone

Area CodePhone Number

Cell Phone

Area CodePhone Number

Work Phone

Area CodePhone Number

E-mail

Occupation

Current Employer: Please give name, number and address:

Spouse/Partner Name

Spouse/Partner Age

Spouse/Partner Occupation

Please list any humane societies, organizations, breed, training clubs, etc you are associated with

Do you live in a house, apartment, condo, mobile home, etc

Do you rent or own?

If renting, does your landlord have restrictions on owning pets? ex: breed, weight, etc Please explain any restrictions

Landlord Name

First NameLast Name

Landlord Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Landlord Phone number

Area CodePhone Number

How long have you lived at your current address?

Do you have a second home or rental property? If so, where? How often do you reside there?

Do you travel for work? If so, how much time are you out of town?

Do you have a fenced in yard? Is it Free from holes, gaps, etc How big is it, please describe and explain

Do you have a doggie door?

How many adults reside in your home?

How many children reside in your home?

Please list name and ages of all who reside in your home

Does anyone in your home suffer from pet allergies?

Please list all current pets in your home, their ages, breed, sex, etc

Are all current pets spayed and neutered? If no, please explain.

Are all current pets up to date on shots? If no, please explain

Are all current pets currently on monthly flea and heartworm prevention? If no, please explain

Do your current pets live inside or outside? Please explain

Where will your new dog/cat live? Inside or outside? Please explain

Where do your current pets stay while you are at work, not home etc? Please explain

Where will your new dog/cat stay while you are at work, not home, etc? Please explain

Where do you current pets sleep?

Where will your new dog/cat sleep?

Do you crate your current pets? If so, for about how many hours a day are they in a crate?

Will your new dog/cat be crated? If so, for how many hours per day or how often? Please explain

Do you have experience with crate training? What are your tehniques, etc?

How long will your new dog/cat be left alone during the day/night?

How long are your current pets left alone during the day/night?

Not all dogs/cat are housebroken depending on situation. What housetraining methods wil you use to housetrain your new pet?

Vet's Name

First NameLast Name

Vet's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Vet's Phone number

Area CodePhone Number

How long have you used your current vet?

Have you ever been in a situation where you had to rehome one of your pets? Ex: baby, moving, behavior problems etc Please explain

What circumstances to you, are acceptable reasons to find your pet another home? Please check ALL that apply:

Would you get training for your new pet if needed to correct behavior issues?

If your pet develops a behavior problem and you do not seek training, how would you handle the situation, what would you do? Please explain

Have you ever had any behavior problems with your personal pets in the past? If so, what were they and what did you do, please explain

Would you get medical attention for your pet in the event it develops a medical problem? Please explain

If your pet comes down with a serious medical problem that is very expensive to treat, what would you do?

Would you ever move to a place that didn't allow pets?

If you decided to move to a place that didn't allow pets, what would you do?

What activities do you plan on doing with your new pet, if any?

Is this dog/cat a present/suprise for someone? If so, please explain

Do you think its important to microchip and keep pet identification ( collar//tags ) at all times? Please explain

Most pets need time to adjust to their new homes. How much time are you willing to give this new pet to adjust? Please explain

New pets need to be properly introduced, to other pets in the home. Do you have experience or have you ever done this before? Please explain

We recommend a meet and greet with the new pet and personal pets to make sure there are no problems, do you agree to this? Please explain

What if a problem arises where the new pet and yoru personal pets aren't getting alone, what would you do? Do you have a way to keep them seperated or what would you do to get them to get along? Please explain

Do you think a dog should be allowed off leash in an unfenced area? Please explain

Do you think a cat should be allowed to go inside/outside or stay outside? Please explain

Please provide the name of two personal references that we may contact

Personal Reference #1 Name

First NameLast Name

Personal Reference #1 Number

Area CodePhone Number

Personal Reference #1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Personal Reference #2 Name

First NameLast Name

Personal Reference #2 Number

Area CodePhone Number

Personal Reference #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

By signing below, you are in agreement and compliance to our application process and agree that everything on this application is true and accurate to the best of your knowledge.

Falsification of any of the above information will be grounds to disallow the adoption of an animal and the possible removal of the animal from the home.

Signature

First NameLast Name

Date

MonthDayYear