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 at 770.385.3520 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 Lawrenceville 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
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created 30.06.05 last modified 08.07.05