Sadie's Animal Rescue & Adoption Application for Adoption

Sadie's Animal Rescue & Adoption Inc. Adoption Contract

Pet Name:

Feline Canine

Breed/Mix: Markings: Age: Altered:

Yes No

Vaccinations:

Yes No

I understand that any dishonest answers on this application will result in rejection of application and/or Sadie's reclaiming the pet.

Applicant's Name: DOB Place of Employment Co-Applicant's Name Co-Applicant Date of Birth Co-Applicant Place of Employment Today's Date: Daytime Phone: Evening Phone: Cell: Email Address: Present Address: How Long At Address?: City: State: Zip: Occupation: How Long: Place of Business: I live in a:

I own I rent

Other Arrangements (explain):

Name of rental complex, management or landlord: Phone: Management will be contacted before adoption.

I have a fenced in yard

Yes No

What Type?: Height: Dog House?

Yes No

How long will this pet be alone each day?: Where will this pet spend his/her days?: Nights?: Do you plan on taking this pet to training classes?: Who will take care of this pet when you travel?:

If less than one year at present address, list previous addresses for past three years:

Address City State

Owned Rented

Address City State

Owned Rented

Address City State

Owned Rented

List all household members and ages:

Name Age Name Age Name Age Name Age Do all household members agree to this adoption?

Yes No

If you move from present address will you take this pet with you?

Yes No

Current Veterinarian's name: Clinic:

List all current pets in the household, including roommate's pets etc.:

Pet's name: Species/Breed: Age: Sex

Male Female

Sterile?:

Yes No

Pet's name: Species/Breed: Age: Sex

Male Female

Sterile?:

Yes No

Pet's name: Species/Breed: Age: Sex

Male Female

Sterile?:

Yes No

Have you owned a pet within the last five years, which is not listed?:

Yes No

If "yes", please explain: Have you ever turned an animal into a shelter?:

Yes No

If "yes", please explain: I want this pet to be a: If "other", please explain: Are there any changes you expect that would prevent you from keeping this pet?:

Yes Possibly No

If "yes" or "possibly", please explain: Are there any circumstances under which you would not seek medical attention for pet?:

Yes No

If "yes", please explain: Under what circumstances would you put an animal to sleep?:

Do you understand that Sadie's will do a home visit either before or after adoption?:

Yes No

Will you answer a questionnaire periodically?:

Yes No

Please list two personal references:

Name: Address: Phone: Relationship: Name: Address: Phone: Relationship:
Sadie's reserves the right to refuse adoption. Adoption fees are non-refundable after 30 days.
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