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Silver Lake Animal Rescue League, Inc. Adoption Application
Pet to be Adopted
Pet’s Name:
Pet’s Description:
Date of Application:
Pet Type (cat or dog):
Is anyone in the household allergic to this type of animal:
Are all members of your household in agreement with the adoption:
How many children living in the house and what are their ages:
Why do you want to adopt this pet? Please mark all that apply with an “X”
Animal Lover:
Too Cute:
Couldn’t Resist:
Companionship:
Reminds you of previous pet:
To Breed:
Teach my children responsibility:
Favorite breed or color:
Functional duty (watch dog):
Felt sorry animal was victim:
As a gift
Gift for Whom:
Will anyone be home during the day for the new animal:
Can you afford to feed and provide regular veterinary care:
Where will the new animal be housed: Please mark all that apply with an “X”
Yard:
House:
Both:
If you marked both, what outside shelter will be provided for the new animal: Please mark all that apply with an “X”
Barn:
Shed:
Dog House:
Kennel:
Fenced Yard:
Other:
Phone:
Email:
Date of birth:
Phone:
Foster Parent Information
Foster Parent Name:
Applicant Information
Name:
Are you over 18:
Current address:
City:
State:
Do you Own or Rent:
How Long?
House:
Mobile Home:
ZIP:
Apartment:
Condo:
Is your yard completely fenced in?
Other:
Fence Type:
Email Address:
FOR RENTERS ONLY (if you own your residence please leave this section blank)
Landlord’s name:
Phone:
Are pets allowed:
Restrictions:
Pet Deposit Amount (if required):
Employment Information
Current employer:
Employer address:
How long?
City:
State:
Position:
Phone:
ZIP:
Emergency Contact
Name of a person not residing with you:
Address:
City:
Relationship:
State:
ZIP:
Phone:
Co-applicant Information, if applicable
Name:
Are you over 18:
Date of birth:
Phone:
Current employer:
Employer address:
How long?
Phone:
E-mail:
City:
State:
ZIP:
Your Pet History
How many pets do you currently own:
Breed
Sex
Age
Spayed/Neutered
Temperament
If you have an animal in your residence now, have you ever introduced it to a new animal:
If yes, how did your current animal react: Please mark all that apply with an “X”
Favorable:
Difficult adjustment:
Indifferent:
Other:
Have you owned this type of animal (dog, cat, etc.) before:
If you owned any type of animal before, what happened to it: Please mark all that apply with an “X”
Still Have:
Passed:
Date:
Other:
Have you ever adopted an animal from a rescue league, humane society or animal shelter before:
Approximate Date:
If yes, which one:
Who is your regular/previous veterinarian or what vet will you use:
Vet:
Doctor:
Phone:
City:
Do you agree to have annual checkups and all vaccinations administered by a licensed veterinarian:
References
Name:
Address:
Phone:
THE AMOUNT THAT YOU HAVE BEEN ASKED TO PAY AT THE TIME OF THIS ADOPTION IS A NONREFUNDABLE FEE MEANT TO PARTIALLY REIMBURSE THE ‘SILVER LAE ANIMAL RESCUE LEAGUE, INC.” FOR
VET CARE, FEEDING AND HOUSING. THE “SILVER LAKE ANIMAL RESCUE LEAGUE, INC.” IS A NON-FUNDED,
501c3, NON-PROFIT ANIMAL RESCUE ORGANIZATION.
THANK YOU!!
SILVER LAKE ANIMAL RESCUE LEAGUE, INC.
Please save this document and return this application to Silver Lake Animal Rescue League, Inc. at:
slarl@yahoo.com or direct to the foster email address if one is provided.
I swear that I have answered all of the above questions truthfully to the best of my knowledge.
Signature of applicant:
Date:
Signature of co-applicant:
Date:
Witness ((SLARL Representative):
Date:
Adoption application New Template2editable.pdf (PDF, 75.05 KB)
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