Date and Time Form Completed: Name of Animal Applying for: Animal Applying for if 1st choice is not available: In the event the animal you are interested in is no longer available, would you like us to contact you in the future in regard to similar pets that become available? Email: * Phone: * Are you located more than 2 hours from Detroit, MI? Are you over 18 years of age? If not, then you should not continue this application. Have you ever owned a pet before? What type of home do you live in? Does your Association or Landlord allow pets? If you rent, please upload a copy of your rental agreement showing you are allowed to have pets.
The following file types are accepted: .jpg, .png, .pdf, .doc, .docx
In the event that you are required to move in the future and cannot take the pet with you, please describe how you would handle the situation: How many people currently live in your household? please select... 1 2 3 4 5 6 7 8 9 10+ How many adults in household? please select... 1 2 3 4 5 6 7 8 9 10+ How many children in household? please select... 1 2 3 4 5 6 7 8 9 10+ If there are children in the household, please list the ages of the children. Why do you plan on adopting a pet? Does anyone in your household have allergies? If yes, please explain. Are you aware that the cost of vet care is at least $100-$200 per year, without serious illness? What happened to any previous pets you may have had? (i.e., passed away, ran away, gave to someone else) Was your previous pet a...? If other, please explain. Where will this pet be living? Do you have a fenced yard? If so, what type of fence? Approximately how many hours a day would the animal be left alone? please select.. 1 2 3 4 5 6 7 8 9 10+ We might have someone from the rescue calling or coming to your home to check on the animal, is that okay? Please list three personal references, with Phone Number and relationship to you. (No direct relatives please)
NOTE: APPLICATIONS THAT DO NOT INCLUDE PERSONAL REFERENCES WILL NOT BE PROCESSED. PLEASE STOP HERE IF YOU ARE UNWILLING OR UNABLE TO LIST PERSONAL REFERENCES NOT RELATED TO YOU ON THIS APPLICATION.
Current Pets - Please supply information for all the pets currently living in your home. If no pets are currently living in your home, disregard this section and move to the next section.
Layout - Current Pets - Pet 1 Layout - Current Pets - Pet 2 Layout - Current Pets - Pet 3 If you currently have more than 3 pets, please list them here. Show as: Name / Type / Ag
Example: Name / Type / Age / Year Adopted
Are the animals Spayed/Neutered? Are the animals currently on Vaccines? Are the animals Declawed? Are the animals on Heartworm Preventative? Do the animals reside inside or outside?
Current Pets - Please provide Veterinarian Information (Note: All Vet information will be verified).
City/Location: Phone: Please provide the name of the owner that the Vet records are under: Are any of your pets being treated for medical conditions? Please explain.
Previous Pets - Please supply information for all the previous pets you have had for the last 10 years.
Layout - Previous Pets - Pet 1 Layout - Previous Pets - Pet 2 Layout - Previous Pets - Pet 3 If you have had more than 3 previous pets over the last 10 years, please list here. Show as: Name / Type / Age
Example: Name / Type / Age
Were these animals Spayed/Neutered? Were these animals current on Vaccines? Were these animals declawed? Were these animals on Heartworm Preventative? Did these animals reside inside or outside?
Previous Pets - Please provide Veterinarian Information (Note: All Vet information will be verified).
Vet Name: City/Location: Phone Please provide the name of the owner that the Vet records are under: Were any of your pets being treated for medical conditions? Please explain. I understand completion of this evaluation does not guarantee the adoption of this pet. Furthermore, falsification of information will result in immediate denial of this application. Incomplete evaluation will not be processed. How did you hear about us? If approved, I would like to be contacted to set up a time to meet by: If there is any other information you would like to make us aware of, please do so here.