GENERAL INFORMATION

How Did you hear about Animalkind

Section 3

Name *

Name

First Name

Last Name

Age

Email Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

ABOUT YOUR ENVIRONMENT

Housing

Own

Rent

Landlord's Name

Landlords Phone #

(###)

###

####

How many hours a day are you away from the house

Hour

Minute

Second

Number and ages of children in the Household

Number of Adults in the Household

ABOUT YOUR CURRENT PETS

List Current Pets + Breeds

How long have you owned the pets *

Have you owned pets in the past, if so for how long? *

Are your pets SPAYED + NEUTERED? *

Are you pets UP TO DATE on VACCINATIONS? *

If you answer no to the above question please explain then why?

Have you surrendered a pet to an animal shelter *

YES

If you answered yes to the above question, then why?

Section 4

Name of animal(s) you're interested in

Breed

Color

Gender

Why are you looking for a pet?

Will your cat be

Indoor

Outdoor

Both

Are you planning to declaw your cat?

Yes

Other important information

Who was/is your Veterinarian? *

Note: Many veterianarians require a pet's owner's permission to release information about a client's pet care. Please contact your vet's office to let them know that Animalkind will be calling. Please leave # below

(###)

###

####

Are you financially able and willing to provide your pet with annual check-ups, vaccinations and vet care as needed? *

Yes

What are your plans in the event that you cannot care for your pet any longer? *

References

Reference #1 *

Reference #1

First Name

Last Name

Phone 1 *

Phone 1

(###)

###

####

Reference #2 *

Reference #2

First Name

Last Name

Phone 2 *

Phone 2

(###)

###

####

By selecting the box below this adoption application, I am accepting all risks associated with handling animals during the adoption process. I also further attest that the information contained in this document is complete and true. I realize that giving incomplete, misleading, or false information will result in being denied the privilege of adoption. I further agree to release all veterinary records pertaining to any person or animal in my household. *