ALL APPLICANTS MUST FILL OUT THIS
FORM TO ADOPT ANY ANIMAL
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 Wendy(Georgia) at 770.385.3520 or Christine (NJ) 201.873.6127 after you
submit this form. All applicants must be 21 years of age or older.
Animal
Information
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
Your Personal Information
Name
Email Address
*Check to make sure
email is correct!
Applicant Age
Mailing Address
City, State, Zip
Phone #1 Cellular Home Work
Phone #2 Cellular Home Work
Occupation
Co-Applicant Name
Co-Applicant Age
Where do you live?
Apartment
House
Condo
or Townhouse
Mobile
Home
Do you own or rent?
Own or
Rent
If you rent, what is your apartment/mobile park name?
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
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)
Is anyone in the home allergic to animals?
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?
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 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
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 spayed or neutered?
Yes
No
Were your previous pets current on vaccines?
Yes
No
Please explain why you no longer have these pets.
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?
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
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