Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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(###)
###
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Email
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Employer
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Occupation
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Which type of animal are you interested in adopting?
[check all that apply]
Color?
Is there a particular MCAR pet you are interested in? If so, provide name:
Have you ever adopted an animal from a rescue?
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Why do you want to adopt this pet?
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How long have you been thinking about getting this type of animal?
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For whom are you adopting?
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Describe your residence:
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If "Other" please describe:
How long have you lived at your current residence?
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How far from the road/traffic is your home located?
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Do you own or rent your residence?
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If a rental, landlord's name:
If a rental, landlord's phone number:
(###)
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If a rental, are pets allowed?
How many people currently live in your household?
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Any children or elderly in your household?
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If yes, list ages:
Does any family member have known allergies to animals?
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If yes, please explain:
Who will be responsible for the animal's care?
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Age (if under 18):
If under age 18, will there be adult supervision?
Are you prepared to take full responsibility for this animal should your child/children become disinterested?
It is unrealistic to expect a child of any age to assume complete responsibility for an animal. Ultimately, the adult(s) of the household are responsible for the complete care of the animals in the home.
Where will the pet be kept?
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How will you confine your pet to your property?
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If other, please describe:
Will anyone be home with the pet during the day?
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How many hours/day will the pet be left unattended?
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When no one is home, where will the pet be kept?
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If you move, what will you do with the pet?
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If kept outdoors, will the pet
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[check all that apply]
Please list all of the pets you have had in the past 5 years:
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[For each, include name, type of pet, breed, age, sex or spayed/neutered, where kept, time in your care. If none, indicate "none."]
Are your current pets up to date on vaccines?
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Please provide the name of your veterinarian:
Are you financially able and willing to provide annual checkups, vaccinations, and ANY necessary medical care for your adopted animal?
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How much do you estimate it will cost to care for this animal annually?
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What precautions would you take to properly introduce a new pet into your home if you have other animals (dogs, cats, other small animals, livestock)?
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What will you do if your new pet does not get along with your present animal(s)?
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Why do you want to adopt a dog?
How will you house train your new dog?
Why do you want to adopt a cat?
Are you planning on declawing?
Why do you want to adopt a small animal?
What research have you done to prepare for being the guardian of this small animal?
Have you had this type of animal before?
If yes, how long has it been since you have had this type of animal?
How much exercise (out of cage time per day) will you allow this pet?
A suitable cage?
How big is the cage? Where will the cage be kept?
An exercise area?
Please describe.
[For hamsters, mice, gerbils] a solid exercise wheel?
A food bowl?
A water bottle or bowl?
[For rabbits or guinea pigs] Timothy hay or orchard grass?
Vegetables - fresh & appropriate?
Appropriate toys?
By checking here, I acknowledge that I have completed this application truthfully and fully understand the adoption process.
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