Animal Resource Network, Inc.

Adoption Application Report

A successful adoption depends on matching the right home with the right pet. ARNI makes a sincere effort to evaluate our pets. Each pet is an individual with specific needs and personality. We consider the needs of thepet to be as important as the needs of the family. We will assist you in making a decision regarding which pet best suits your family and lifestyle. Your answers these questions will help us identify pets that can successfully become permanent members of your family.

Email: Telephone Number:

1) Name: Occupation:

2) Co-applicant: Occupation:

3) 18 or older Are you a student?

4) Address: City: ST Zip Code
Township

5) Name of your Veterinarian or clinic:

) Please describe the kind of dog/cat you are interested in adopting:

6) Age Sex Reason for sex preference
Enter comments here:

7) Breed/mix Size Coloring

Temperament: Why do you want a dog/cat? Why do you like the breed/mix you are interested in?
Have you owned this breed/mix before? Can you commit to the care of the dog/cat for its lifetime? (10 to 20 years) What research have you done on this breed and Where did you obtain your findings?

Your home:

Number of adults Number of children Are all adults in the home agreeable to a new pet?

Where do you live? House Apartment Townhouse Condominium Mobile Home Other If renting, do you have permission from the landlord/association? Landlord/association telephone number Do you have a lease or other documentation indicating permission for an animal?

Yard size Is it fenced? Height of fence Type of fence

Will your dog/cat be an indoorOutdoor pet?

Your children: Do you have children? Number Ages
Have they had dogs/cats Was it successful?

Your dogs: How many dogs do you have? Breed/mix Ages

If none, have you owned any dogs in the last 5 years?

What happened to them?

Were any bought from a breeder? From a store? Adopted from a shelter? Inherited? Found stray? Other? Do your dogs have any physical problems? Any behavior problems? Any dominance problems? Do they get along with other dogs? Do they get along with cats?

How do your dogs spend their days?
Where do they sleep?

Your Cats: How many cats do you have? Breed/mix Ages

If none, have you owned any cats in the last 5 years?

What happened to them?
Were any bought from a breeder? From a store? Adopted from a shelter? Inherited? Found stray? Other? Do your cats have any physical problems? Any behavior problems? Do they get along with other cat? Do they get along with dogs?

Are they front declawed? All four declawed?

Other Pets:

Describe

All of the information I have provided on this application, to the best of my knowledge, is true and complete. I understand that falsifying answers on this application, or at any other time during the adoption process, disqualifies me from adopting an animal through Animal Resource Network, Inc. (ARNI). By submission of this adoption application I grant permission to ARNI to verify my information above through my landlord/assocation and through my vetrinarian. I, further, grant permission to my landlord/association and veterinarian to release such information upon request by an authorized ARNI representative.

The final decision as to whether an individual applicant can provide for the lifetime needs of an individual animal is the sole discretion of ARNI. ARNI reserves the right to refuse any applicant. ARNI's adoption practices meet equal opportuntity standards.