Adoption Application

Please fill in the information in all fields to complete this application:

*Your Name

*Your Email

*Address

*Phone Number


1. Who is the pet for?

 Yourself Other

Age of Adopter:

2. What is your familiar status?

Are you?

If you are single, do you:

Do you Work?  Yes No

Your occupation?
Your Employer?
Your Work Hours:

If you are married, does your spouse work?  Yes No

Spouse's occupation:
Spouse's Employer:
Your Spouse's Hours:

How many children do you have at home? What are their ages?

Do children regularly visit your home?  Yes No

Who will be responsible for the pet? 

3. Residence Information

Do you,

Type of Dwelling:  House Apartment

If apartment, what floor? Is there an Elevator:  Yes No

If renting, does your lease allow pets?  Yes No Don't Know

Do you have a yard?  Yes No

If yard is fenced, what type of fencing?

Do you have a crate?  Yes No
Have you ever crate-trained?  Yes No

Are you planning a move?  Yes No

Does anyone in your residence have allergies to pets?  Yes No

Where will your pet be kept?
Daytime: Evening:

4. Pets

Do you have other pets now?  Yes No

If yes, please fill out the table below with the information about your other pets:

Type
Age
Ownership Length
Where they are kept
Spay /Neuter
(Yes or No)

Have you had pets in the past?  Yes No

How long has it been since you had a pet?

What happened to the pets?

5. Veterinarian Information

Do you currently have a veterinarian?  Yes No

If Yes, Vet's Name:
Phone:
Address:

*Are you aware that the annual routine vet expenses range between $75-$350?

*Are you aware that pets need monthly heartworm and Flea & Tick preventatives?

6. Terms and Conditions

I acknowledge that all of the information on this application is true and correct.  I understand that any misrepresentation of fact may result in my not being approved to adopt a dog or the removal of the adopted dog from my home by ADRATI.

Applicant(s) understands and agrees that visiting dogs for potential adoption is at their own risk.  Applicant(s) agrees to hold harmless, release and indemnify ADRATI and its officers and directors from any and all claims that may arise as a result of the application and/or the application process to adopt a dog from ADRATI.  Applicant(s) signatures below indicates agreement.

While ADRATI makes every attempt to meet the medical needs of rescue animals, no guarantee is made of the health of any animal.

Angel Dogs Rescue And Transport, Inc. reserves the right to refuse or deny any application.
1. The adopter agrees to pay a non-refundable adoption fee.
2. The adopter agrees to provide care and treatment for the companion animal to insure its well being, including but not limited to:  Dry, clean living quarters with protection from weather; fresh, clean water and food shall be provided daily; medical care as required and all necessary vaccinations; licensing by any state or local laws; the animal will not be restricted to outdoors; the adopter will provide love, care, and attention to their companion animal.
3. The adopter will insure that the companion animal will not be chained, tied, or caged and will be free from inhumane acts on the body not limited to striking, punching, maiming, mutilating, or applying caustic substances and will not be used for medical or other research or experimental procedures, religious rituals, or illegal activities.

*Adopter Name:

*Signature:  I Agree to these Terms I Disagree - *Date:

*Application Submitted For Dog Named:

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