Name: __________________________________________________________________ Date: ______________________
Address: ________________________________ _____________________________________________________________
City: __________________________State: ________ ZIP: ___________________
1. How long at current address: ________________________________
2. Telephone number(s): Home: __________________________ Work: ________________________________
5. Number and ages of children living in household: _______________________________________________________________________________________________________
6. What type of area do you live in? City[ ] suburb [ ] Rural[ ]
7. What type of housing? Apt. [ ] Condo [ ] Duplex [ ] house [ ]
Other ___________________________________________________________
8. Do you rent or own your home? ___________________________
9. If you rent or lease, do you have permission from your landlord:
to own a dog? Yes ___ No ___
to own a cat? Yes ___ No ___
10. a) What other pets have you previously owned? ________________________________________________________________________________________________________
b) What happened to them? (Please list) ________________________________________________________________________________________________________
11. What other types of animals live in your home? ________________________________________________________________________________________________________
12. What do you know about the pet you wish to adopt? ________________________________________
13. a) Do you have a fenced yard? Yes ___ No ___
b)Describe your fence _________________________________________
c)If you don’t have a fence, where and how will the pet be exercised and be allowed to eliminate? ________________________________________________________________________
14. What member of the family will be taking the MAJOR responsibility of caring for this pet?___________________________________________________________________________________________________
15. What are your plans and goals for this pet? __________________________________________________
16. Have you ever trained a pet in obedience class? Yes ___No ___
b) Will you take your pet to an obedience class? Yes ___ No ___
15. Will the pet live in the home? Yes ___ No ___
If not, where? ________________________________________________________________________________________
16. Where EXACTLY will the pet sleep at night and be kept when there is no one at home?
________________________________________________________________________________________________________
17. Do you believe in pet crates? Yes ___ No ___
18 If you move, what will you do with your pet?_________________________________________________
19. When you go on vacation, where will your pet go and who will care for it? ________________________________________________________________________________________________________
20. Who is the veterinarian that you have or would use?________________________________________
21. Are you willing to allow a representative from The Other Side of the Fence to periodically contact you by phone.
Yes ____ No ____If no, why?___________________________________________________________________________
22. Can you afford to schedule an appointment to have your pet spayed/neutered?
Yes ___ No___
23. How much can you afford to donate?__________________________________________________________
signature _____________________________________________________________________________________________
WE RESERVE THE RIGHT TO REFUSE ANY APPLICANT
This is only an application. Once we have read over and approved you for an adoption, you must read and sign the adoption contact. Only then will you be able to take your new family member home.
