Online Adoption Application ALL APPLICANTS MUST FILL OUT THIS
FORM TO ADOPT ANY ANIMAL Animal
Information Your Personal
Information Applicant Name
Email Address
Applicant Age
Mailing Address
City, State, Zip
Phone #1
Cellular
Home
Work Phone #2
Cellular
Home
Work Occupation
Co-Applicant Name
Co-Applicant Relation to Applicant
Where do you live?
Apartment
House
Condo
or Townhouse
Mobile
Home Can you provide a
permanent home for this cat for 10-15 years ? Yes
No
Is anyone in the home allergic to animals?
Yes
No If yes to any of the
above questions, please explain what impact you believe it might have on your
ability to care for the cat:
(Please note that Save Our Strays, Inc. operates out of Georgia and New Jersey)
Save Our Strays, Inc.
Post Office Box 961
Monroe, Georgia 30655
S.O.S. PETS Inc.
Post Office Box 8248
Parsippany, New Jersey 07054
Adoptions: Kimberly 770.931.4039 (Georgia)
Adoptions: Christine 201.873.6127 (New Jersey)
Spay/Neuter Clinic: Alexis 770.972.5067 (Georgia)
FROM SAVE OUR STRAYS, INC.
Kindly fill in the following adoption application. When finished, print
a copy for yourself, then hit the SUBMIT button (this form will be emailed
directly to an SOS representative). Call Kimberly (Georgia) at 770.931.4039 or Christine (NJ) 201.873.6127 after you
submit this form. All applicants must be 21 years of age or older.
Are you interested in adopting a
CAT or DOG?
CAT
DOG
Animal Name, Number or Description.
Where did you hear about our Cat or Dog available for adoption?
PetSmart
Lilburn/Stone Mountain
PetSmart
Rockaway, NJ
Petfinder
Atlanta Pets
*Check to make sure
email is correct!
Co-Applicant Age
Do you own or rent?
Own or
Rent
Renters, do you
have the landlord’s permission to own an animal? Yes
No
Paid pet
deposit? Yes
No
Are there any children in the house?
Yes
No
If children are present, please specify their ages.
Are you willing to provide a permanent home for this animal for the next 10-15
years?
YesNo
Are you adopting this animal for someone else?
YesNo
If yes, for whom?
If you rent, what is your apartment/mobile park name?
Do you plan on moving or relocating in the future?Yes
No
Do you plan on having a new child in the future?Yes
No
Reason for adopting a pet (check all that apply):
Family Pet
Gift
or Surprise
Breeding
Child's Pet
Companion
for another pet.
Guarding/Watchdog
Hunting
Other (please
specify)
What circumstances, in your mind, justify giving up a pet (check all that
apply)?
Moving
New
Baby
Not
getting along with other pets.
Excessive Shedding
Allergies
Children
Lost Interest
Too time
consuming.
Medical
Problems
Too
old/cannot breed.
Housebreaking
Problems
Divorce
Behavioral
Problems (scratching, urination)
Other (please specify)
Does your home have a 'doggie door' (where pets have free access to outdoors)?
Yes
No
Do you have a fenced in yard?
Yes
No
Fence Height
3 Feet
4 Feet
5 Feet
6 Feet
Fence Type
Chain LinkWood/Privacy
Farm Fence
Electric
Your Current Pet Information
Do you have any current pets?
Yes
No
Please check all that apply.
Cats
How many?
Dogs
How many?
Other
Are your current pets (cats and/or dogs) spayed or neutered?
Yes
No
Are your current pets current on vaccines?
Yes
No
What brand food are you currently feeding your pets?
What brand flea preventative do you use?
Are your CATS
Indoors
Exclusively
Outdoors
Exclusively
Indoors and
Outdoors
What percentage of time would the cat you adopt spend indoors?
%
Are your current CATS declawed?
Yes
No
Would you consider declawing the cat you are applying for?
Yes
No
Have your current CATS been tested for feline leukemia (Felv) or feline AIDS
(FIV)?
Yes
No
Did they test positive?
Yes
No
Are your DOGS on heartworm prevention?
Yes
No
If so, what brand heartworm prevention do you use?
Do your dogs have ID tags and collars?
Yes
No
Do you have your dog groomed regularly by a professional?
Yes
No
Would you consider crate training your dog?
Yes
No
Would you consider professional pet training classes?
Yes
No
Your Previous Pet
Information
Did you have any previous pets?
Yes
No
Please check all that apply.
Cats
How many?
Dogs
How many?
Other
Were your previous pets (cats and/or dogs) spayed or neutered?
Yes
No
Were your previous pets (cats and/or dogs) current on vaccines?
Yes
No
Were your previous CATS declawed?
Yes
No
Please explain why you no longer have these pets.
Have you ever
relinquished an animal to a shelter or rescue group?
Yes
No
If yes, please explain.
References
What is your veterinarian's name or clinic name (past or present, in
state or out of state) and phone?
What city is your veterinarian located?
Can a representative of SOS contact your veterinarian as a reference?
Yes
No
Would you be willing to allow a representative of SOS to visit your home by
appointment before the adoption?
Yes
No
Would you be willing to allow a representative of SOS to visit your home by
appointment after the adoption?
Yes
No
Have you applied for a pet with another rescue group?
Yes
No
If so, with whom did you apply?
If you are unable to keep your pet for any reason, would your return the cat
to SOS?
Yes
No
Applicant Signature
Typing your name in the box serves as a written signature.
By hitting the submit button
below, I am testifying to the truthfulness of my answers. Falsificaiton
of any of the above information will be grounds for disallowing the adoption
of rescue animal and possible removal of said animal from my home. In
addition, I agree to let a representative of Save Our Strays, Inc. contact my
veterinarian as a reference. By signing below, I agree to assume all
responsibility for any and all risk, damage or injury that may occur to
myself, any individual or any property while handling any cats of S.O.S.
Applicant must be 21 years of age or older. All Save Our Strays, Inc.
representative reserve the right to refuse any applicant.
Applicant Name/Signature
Today's Date
| Save Our Strays, Inc. | S.P.O.T. Society | Atlanta Pets | Project Catsnip | EMAILSOS in Atlanta |
created 30.06.05
last modified 27.05.08
| If you own this site, CLICK HERE | This web site was provided free of charge by www.DomainNameSanity.com |