Autumn Acres Dog/Cat Adoption Application

Type of animal you are applying for:	Puppy (6 weeks to 6 months) Adult Dog (over 6 months) Kitten (6 weeks to 6 months) Adult Cat (over 6 months)
Name of animal applying for:
Your name(first and last):
Your street address:
City, State, Zip Code:
Home Phone #:
Cell(or pager) #
Email Address:

Household Information:

Do you have pets now? yes no

If you have pets now how many and what kind(please describe them)
How long have you had them?
How old are they?
Are they primarially indoors or outdoors?
Please explain:
Veterinarian/City/Phone#:
Date of Spay or Neuter (if any)
Where does your pet spend the most time?
Do they come inside to sleep?
How many children are living in your home and how old are they?
How many hours is the family away from the house?
Where will the pet be sleeping?
Has anyone in the family ever been bitten by a cat or dog?
How long have you lived at your current residence?
Is your yard fenced? Please describe your yard:
Do you rent or own?
How long at your last residence, did you have pets at the last home, if so where are they now?

 

[Home] [Information] [Shelters] [Search]