ADOPTION APPLICATION
Name:
Address:
City:
State:
Phone:
EMail:
Drivers License # :
What Pet are you interested in?
What attracted you to this pet?
Are you familiar with this breed?
If so, where did the information come from? (i.e., friend, book, internet)
Veterinarian:
Address:
Phone:
Employer: Work phone:
Age:
Have you had pets before?
What type?
What is their current status? (Still with you?) Deceased?
What were the reasons for their departure, if no longer with you?
Please explain what attributes you are looking for in the ideal pet:
Have you had this particular type/breed of pet before?
Will this pet be stictly indoor or outdoor?
How will you intend to housetrain this pet?
How many hours will this pet be left alone each day?
Where will this pet be kept while left alone?
Do you have a fenced yard?
Do you own your home or rent?
If renting, please provide landlords information:
What other family members will be living with this pet? Please number and describe:
Ages of household members;
Are all family members in agreement on adopting this pet?
What family member will be responsible for this pet?
Are you prepared to assume costs of annual testing, preventive vet care and emergency pet care as needed?
How many other pets will share this household? Please include name, age, breed and sex of other pets.
Are all parties willing to take responsibility of pet ownership and care including working through any behavior and training difficulties?
If not, please explain:
On average, what do you believe the yearly cost of keeping this pet will be?
Is there any reason you would have to give up this pet?
Are you willing to notify Midwest Friends of Animals of your intent to surrender this pet and allow MFOA to reclaim it?
Other comments you would like to add?
Please provide 3 personal references with a maximum of one relative: Include name, address, phone # and your relationship.