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Is this application for a
currently available dog or cat?
If Yes,
which one?
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| Do you rent or own?
House, Townhome, Mobile Home, Apartment?
If you rent, we will need permission to see your lease
agreement
or make contact
with your landlord before approval of an adoption.
Landlord Name
Landlord Phone
Number
How long have you lived at the current address?
Do you have plans to move within the next 6 months?
If you have children at home, what are their ages?
Do all adults at the residence work full time?
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| List below any pets you
currently own:
Name
Type/Breed
Age
Is the Pet Altered?
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| For dog adoptions:
Do you
have a fenced area on your property?
If yes, please describe your fence (i.e.
type, height)
If not, how do you plan to have your dog relieve
him/herself?
What type of training will you pursue for your new dog?
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| How many hours each day do
you plan to spend with your pet?
Where
will the new pet be kept when it is alone?
Where will your new pet sleep?
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| Please list contact
information for a veterinarian that you have used before. Vet
references are checked.
DO YOU APPROVE OF THIS VETERINARIAN BEING CONTACTED FOR A
REFERENCE CHECK?
Vet Name:
Vet Phone Number (include area code):
Name under which your records will be listed:
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| Is this animal
being adopted for yourself or as a gift?
If as a gift, does the person know that you are giving them
this gift?
Does this person reside in your home?
Name of person you are getting pet as gift for:
Relation of that person to you:
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The fee to adopt an animal is $15 (non-refundable)
payable at the time of adoption. All animals must be spayed or
neutered and are given vaccinations prior to adoption. The cost of
spay/neuter will be incurred by the adopter.
Are these terms
acceptable?
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| Please realize that dogs and
cats need medical care through their lives, including yearly boosters,
heartworm and flea/tick preventatives. Adopting a pet is LIFETIME
COMMITMENT and it may take time for an animal to adjust to new surroundings. Please
consider this before adopting. |
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I certify that I
am eighteen (18) years of age or older and that these answers are true and
correct to the best of my knowledge.
and have read the
above Adoption Application and will execute same promptly upon receipt of the
animal.
All medical records and pertinent information related to the
animal will be provided to you upon receipt.
Signature
(type name here if completing online):
Date:
Please return this application by pressing the Submit
button, or you may print it and mail it to:
City of Olive
Branch Animal Shelter
9200 Pigeon Roost
Olive Branch, MS 38654 |