Adoption Application/Contract

"Please read carefully"

We'd like to remind you that a pet is a member of your family and a lifetime commitment.

Some of our animals may have suffered abuse and neglect in the past and will need your patience in their new environment which may cause them added stress. There may also be medical and behavioral problems of which we are not aware . These animal deserve a new chance at life with as much love and the best care any of us can provide.
Veterinary care and rehabilitation is expensive. All of our animals are spayed or neutered and receive all necessary veterinary care such as deworming, heartworm testing, feline aids and leukemia testing, appropriate vaccines and any other treatment necessary. Suggested adoption donation is $100 (cat or dog) which covers only a portion of our costs.

A pet may be returned within 5 days for a full refund of the adoption donation.

Potential adopters are carefully screened. Adoption requirements include: Completion of adoption application, vet reference and/or personal reference. A home visit by Aide for Animals volunteer or by another rescue organization representative may be required, as well as a follow up call.

We also need your driver's license number, place of employment (to assure us that you are financially able to care for this animal's vetting and food needs), veterinarian reference to insure that prior pets were well care for (if no vet, please tell us why).
We also ask that if any home situation/adoption does not work out, that you contact us so that we can help you find this animal the right home or be returned to us.

Please provide the following information:

* Name:

* Driver's license number:

* Age (if under 21):

* If under 21 years of age, please tell us why you believe you will be capable of adopting and caring for this animal:

* Street Address:

* City, State & Zip:

* Home #:

* Cell #:

* Email address

* Name of animal(s) you wish to adopt:

*

Male

Female

Cat

Dog

* What circumstances, in your mind, justify getting rid of a cat or a dog?

* Are you prepared to assume full responsibility for a pet including inoculations, and believe a pet is a family member and a lifetime commitment?

Yes

No

* Do you agree to never declaw this cat?

Yes

No

N/A

* Do you agree to never abandon this pet or to surrender it to a city or county shelter, for any reason?

Yes

No

* Have you had animals before?

Yes

No

* Do you have animals in your household at the present?

Yes

No

* If so, how many and what breeds?

*

Inside

Outside

Both

* Are they altered?

Yes

No

N/A

* If your pet(s) are not altered, please tell us why.

* Will this pet live:

Indoors

Outdoors

Both

* Do you have a fenced in yard?

Yes

No

We prefer that dogs and cats live indoors and have access to a secure yard or cat escape proof fenced in yard/area.

* Do you have children at home?

Yes

No

* If so, how many and what are their ages?

* Do you live in a:

* If "Other" please describe:

If you rent, we require written authorization from your landlord to keep a pet.

* Landlord's Name: Phone #:

* If you are out of town or away from home, who will take care of this pet?

* If you work, how long will this pet be alone during the day?

* Are all members of your household aware that you are considering adopting a pet and in agreement?

Yes

No

* Is this pet going to be a gift?

Yes

No

* If so, do they know?

Yes

No

N/A

* What day and time is best to allow one of our representatives to visit your home by appointment?

* Personal reference #1:

* Personal reference #2:

* Name and phone number of your veterinarian:

* If no veterinarian, why not?

* By signing below I am accepting the terms of this contract and attesting to the truthfulness of my
answers. I understand that falsification of any of the above information will be grounds to disallow
this adoption. I further understand that AFA does not make any guarantees as to the health,
ultimate size or temperament of this rescue and thus cannot be held liable for any incidents related
to this pet, and that I may return this pet within 5 days for a full refund. By my signature here
I also authorize Aide for Animals to contact my veterinarian.

Electronic Signature:

* Date:

* Indicates Response Required