Royal Potcake Rescue USA potcake_rescue@bellsouth.net Home Page Pets Available for Adoption    Adopted!    How You Can Help ON-LINE ADOPTION APPLICATION 001. Name of pet are you applying for? 002. Your Name? 003. Email address? 004. Mailing Address (Street, City, Zip)? 005. Your Age? 006. Your Occupation? 007. Phone? 008. Will the animal live at the address above? 009. If No, please give address where the animal will live? 010. Type of Home - House/Apartment/condo/Townhouse/Other? 011. Do you Own or Rent? 012. If you rent, does your landlord allow pets? 013. Name of Apartment and/or Landlord and phone number? 014. Pet Deposit Required, if so how much? 015. Do you have a securely fenced yard (no gaps)? 016. If so, type of fence? 017. If no fence, how do you plan to keep the pet on your property when outdoors? 018. How long have you been at this residence? 019. How many times have you moved in the past 5 years? 020. How many adults live in the home? 021. Ages of adults? 022. How many children live in the home? 023. Ages of Children? 024. Does any member of the household have pet allergies? 025. How many dogs/cats have you had in the past? 026. Please describe what happened to each of them? 027. Please list all pets and species/breeds/ages of animals currently living in the home? 028. Are your current cats and dogs spayed or neutered? 029. Are all your animals current on their vaccinations? 030. Name of Veterinarian? 031. Have you ever had a pet for a short time (less than six months) and it didn't work out? 032. If yes, please explain the circumstances and what happened? 033. Do any of your pets now live, or have lived in the past, primarily outdoors? 034. If yes, please describe pet and its living conditions? 035. Have any of your pets (not strays) been picked up by or taken to animal control? 036. If yes, why? 037. Where does your current pet stay when home alone during the day? 038. Where does your current pet sleep at night? 039. Is your current dog on heartworm prevention? 040. How often do you give the heartworm medication? 041. What brand do you use? 042. Are your current pets on flea and tick prevention? 043. If yes, how often do you give the preventative? 044. What brand do you use? 045. How long have you been looking for a new pet? 046. What made you decide to apply for this particular dog/cat/puppy/kitten? 047. With this pet, how many animals will live in the household? 048. Why do you want another animal? 049. Where will your new pet stay when alone during the day? 050. Where will your new pet sleep at night? 051. What percentage will the pet spend inside and outside? 052. How many hours will the pet be alone each day? 053. How do you plan to exercise this pet? 054. Who will be responsible for the daily care and training of your new pet? 055. How do you plan to train your new pet? 056. What circumstances, do you think, justify giving a pet up? 057. Are you prepared to provide a safe and permanent home for this pet for the next 10 to 15 years? 058. What do you expect annual pet care (vet care, medication, heartworm prevention, grooming, etc.) to cost? 059. What do you expect to pay in the event of a medical emergency? 060. If your new pet later develops a medical problem that becomes expensive what would you do? 061. Do you agree to allow a home inspection upon appointment? 062. Do you hereby attest that all of the information given in this application is true and accurate to the best of your knowledge? Comments: Back to Adoptions Page Website hosting and domain registration powered by DomainNameSanity.com