ORPHANED PETS INC.
ADOPTION APPLICATION
PO Box 1945, West Caldwell, NJ 07007
Hot Line: 973-882-8363
Orphaned Pets Inc. was founded in 1990 with the objective to Rescue, Foster and Adopt unwanted domestic pets into loving homes.
Applicant Information
Name of the dog you are interested in:
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Your full name:
*
Street Address:
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City, State, Zip
*
Home Phone:
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Area Code
Phone Number
Cell Phone:
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Area Code
Phone Number
E-mail:
Household Information
Are all members of your household in agreement with this adoption?
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Yes
No
Don't Know
Who will be the pet's primary caregiver?
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Do you live in a
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House
Apartment
Condo
Mobile Home
Other
Do you own or rent?
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Own
Rent
Does your landlord allow dogs?
Yes
No
Are there any restrictions from your landlord or subdivision?
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Number of pets
Size or weight restrictions
Breed restrictions
None
Do you have a fully fenced yard?
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Yes
No
How many adults are in your household?
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How many children are in your household?
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If children, what are their ages?
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages
How many of these pets are spayed/neutered?
Where are these animals now?
Have you ever given up a pet?
Yes
No
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
Are you aware of crate training?
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Yes
No
Have you ever house-broken a dog or puppy before?
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Yes
No
If the dog has an "accident" in your home, what type of correction do you plan to use?
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How many hours each day will your new pet be home alone?
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Are you willing to work through your new pet's issues, if any?
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Yes
No
Do you plan to take an obedience class with your dog?
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Yes
No
Not sure
How did you find out about Orphaned Pets Inc.?
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Adoptapet.com
Petfinder.com
Facebook
Friend/Family Member
Other website
PetSmart
Other
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Signature:
Submit
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