ADOPTION APPLICATIONS KITTEN
CAT & KITTEN APPLICATION
Name (last) (first) (middle):___________
Date:____/_____/____
e-mail:______________________ Phone # ________________
Best time to call: __________
Is this your first experience with a cat? YES | NO
Please list your presently owned pets
NAME BREED YRS OWNED SPAYED/NEUTERED AGE
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Do you own or rent your home? _____________ If renting, do you have your landlord's permission to keep a cat? YES/NO
You want to adopt a pet for: A HOUSE PET | A CHILD | A GIFT | A MOUSER/BARN CAT | A COMPANION
FOR ANOTHER PET | OTHER______________
Where will your adopted cat live? INDOORS ONLY | OUTDOORS ONLY | INDOORS AND OUT
Are you prepared to meet the financial responsibility of owning a pet?
(A cost of $300.00 to $500.00 per pet, per year.) YES | NO
Who is or will be your veterinarian?_______ Phone No.__________________
If you do not have a vet set up I would be happy to recommend someone
Is this pet going to be living with you? YES | NO
If not, with whom?_____
How many people live in your household?_________
What are the ages of any children in your household?__________
Does anyone living in your household have any known allergy to animals? NO | YES, (to what kinds of animals)?_____________
Please list any pets you have had in the last 2 years.
NAME & BREED YRS OWNED SPAYED WHAT HAPPENED TO PET
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Do you agree to contact Bella Rescue if you can no longer keep this cat? YES/NO
I understand that this is an adoption application and NOT A CONTRACT. All of the above information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with adequate food, water, in home shelter, training, affection, and medical care. I am in full agreement with these terms of adoption. Bella Rescue is in no way liable or responsible for any damage, accident or injury resulting from the placement of a cat into my household, or for illnesses occurring after the dog has been adopted. Applicant Signature: ____________________________________ Date:________________ Parent Signature if Applicant is Under 18 Years old: ____________________________________
CAT & KITTEN APPLICATION
Name (last) (first) (middle):___________
Date:____/_____/____
e-mail:______________________ Phone # ________________
Best time to call: __________
Is this your first experience with a cat? YES | NO
Please list your presently owned pets
NAME BREED YRS OWNED SPAYED/NEUTERED AGE
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Do you own or rent your home? _____________ If renting, do you have your landlord's permission to keep a cat? YES/NO
You want to adopt a pet for: A HOUSE PET | A CHILD | A GIFT | A MOUSER/BARN CAT | A COMPANION
FOR ANOTHER PET | OTHER______________
Where will your adopted cat live? INDOORS ONLY | OUTDOORS ONLY | INDOORS AND OUT
Are you prepared to meet the financial responsibility of owning a pet?
(A cost of $300.00 to $500.00 per pet, per year.) YES | NO
Who is or will be your veterinarian?_______ Phone No.__________________
If you do not have a vet set up I would be happy to recommend someone
Is this pet going to be living with you? YES | NO
If not, with whom?_____
How many people live in your household?_________
What are the ages of any children in your household?__________
Does anyone living in your household have any known allergy to animals? NO | YES, (to what kinds of animals)?_____________
Please list any pets you have had in the last 2 years.
NAME & BREED YRS OWNED SPAYED WHAT HAPPENED TO PET
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Do you agree to contact Bella Rescue if you can no longer keep this cat? YES/NO
I understand that this is an adoption application and NOT A CONTRACT. All of the above information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with adequate food, water, in home shelter, training, affection, and medical care. I am in full agreement with these terms of adoption. Bella Rescue is in no way liable or responsible for any damage, accident or injury resulting from the placement of a cat into my household, or for illnesses occurring after the dog has been adopted. Applicant Signature: ____________________________________ Date:________________ Parent Signature if Applicant is Under 18 Years old: ____________________________________
ADOPTION APPLICATION DOG
ADOPTION APPLICATION
Name (last) (first) (middle):________________________________________________________________
Date:____/_____/____
e-mail:______________________ Phone # ________________
Best time to call: __________
Is this your first experience with a dog? YES | NO
Please list your presently owned pets
NAME TYPE/BREED YRS OWNED SPAYED/NEUTERED AGE
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Do you own or rent your home? _____________ If renting, do you have your landlord's permission to keep a dog? YES/NO
How long have you lived at this address? __________
You want to adopt a pet for:
A HOUSE PET | A CHILD | A GIFT | A COMPANION FOR ANOTHER PET | OTHER_____________
Is this pet going to be living with you? YES | NO
If not, with whom?______________________________________________________________________
How many people live in your household?____________________________________________________
What are the ages of any children in your household?________________________________________
Does anyone living in your household have any known allergy to animals? NO | (YES), to what kinds of animals?_________
Do you have a fenced yard? YES/NO if so, fence height _____
Fence type ______________
Does fencing completely enclose a yard for the dog? YES/NO
If no fence, how will you handle the dog/s exercise and potty duties? ____________________________________________________
Where will dog spend the day? Loose in house ___ Crate ___ Basement ___ Garage ___ Fenced yard ____Fenced Kennel run ___ with shelter ___ without shelter ___ Doggie Day Care___
How many hours on the average will the dog spend alone? ____
Where will dog spend the night? Loose in the house __ Crate __ Basement __ Garage __ Fenced yard ___ Fenced Kennel run ___ with shelter ___ without shelter ___ Other describe ________________
Are you willing/able to pay for annual vet care for vaccinations, heartworm testing, teeth cleaning, check-ups,? YES/NO
Emergency expenses? YES/NO
Who is or will be your veterinarian?_______________________________ Phone No._________________________
If you do not have a vet set up I would be happy to recommend someone
Please list any pets you have had in the last 2 years.
NAME & BREED YRS OWNED SPAYED WHAT HAPPENED TO PET
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Do you agree to contact Bella Rescue if you can no longer keep this dog? YES/NO
I understand that this is an adoption application and NOT A CONTRACT. All of the above information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with adequate food, water, in home shelter, training, affection, and medical care. I am in full agreement with these terms of adoption. Bella Rescue is in no way liable or responsible for any damage, accident or injury resulting from the placement of a dog into my household, or for illnesses occurring after the dog has been adopted. Applicant Signature: ____________________________________ Date:________________ Parent Signature if Applicant is Under 18 Years old: ____________________________________