Almaguin Pet Rescue

Name

Email address

Phone number

Address

City

Who are you interested in adopting?

Are you adopting this animal for yourself and your family?

Yes
No

Number of adults in the home (18 years and older)

Number of children in the home:

How often do children visit the home?

Always
Often
Never

Will visitors bring their pets with them?

Yes
No

Do any family members have allergies to pets?

Yes
No

How busy is your families schedule?

Very Busy
Somewhat busy
Not very Busy

How would you descbribe your family?

Are you planning on moving in the next month?

Yes
No

Are you planning a change in schedule in the next month?

Yes
No

Are all members of your family in agreement about adopting the animal?

Yes
No

What type of home do you live in?

House
Apartment
Acreage
Townhouse
Other

Do you rent or own?

Rent
Own

Do you have your landlords permission to have pets?

Yes
No
N/A

Outside areas at my residence include:

Fenced Backyard
Yard
Balcony
Patio
Pool
Waterfront

Where will your pet stay during the day?

Where will your pet stat at night?

Your current pets (please include type, name, breed, age, and sex:

Are all of your current pets spayed/neutered?

Yes
No
I do not have any other pets

Are your current pets friendly with animals?

Yes
No
I do not have any other pets

Who will have the primary responsibility of this pet?

Have you owned cats and/or dogs before?

Cats
Dogs
None

What happened to them?

Would you consider declawing your cat

Yes
No
Not sure

Have you surrendered or given a pet away?

Yes
No

If yes, why did you surrender or give your pet away?

Name of veterinary clinic where your pets are/were treated:

Please provide one other Reference:

Are/were your pets vaccinations up to date?

No
Yes
N/A

Are you aware of and prepared for the expense of owning a new pet? (Veterinary care, annual vaccinations, annual license, food, litter, miscellaneous)

No
Yes

Are you willing to accept the financial responsibility of future, unexpected/required medical expenditures, ie: unexpected accident, injury, ailments, health of aging animal?

No
Yes

Are you prepared to allow an adjustment period of at least two weeks?

Yes
No

If you go away for a few days, or on a vacation, who will take care of your pet?

Under what circumstances would you not keep this pet?

Illness in family
Divorce
Moving
New baby
New job
Allergy
Scratching
Shedding
Conflict with other pet(s)
High veterinary costs
Animal becomes ill
Litter training problems

If this adoption. for any reason does not work out at any time in the future, do you understand that you must return the animal to The Almaguin Pet Rescue, where it came from? If you have found a suitable home for the pet the Almaguin Pet Rescue must be notified.

Yes
No

Are you willing to have a rescue volunteer come to your home, to see where the cat/dog will be living?

Yes
No

Any additional comments: