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 #

(###)

###

####

Number and ages of children in household

Number of adults in household

List current pets + breeds

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, please explain why?

Name of animal(s) you're interested in

Why are you looking for a pet?

Will your cat be

Indoor

Outdoor

Both

Are you planning to declaw your cat? *

Yes

Veterinarian Information

Who is your Veterinarian? *

Note: Many veterianarians require a pet 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.

(###)

###

####

Are you financially able 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,, 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 animal past/present in my household. *

HOURS
Mon: 12–4PM Tue: Closed Wed: Closed Thu: 12–4PM
Fri: 12–4PM Sat: 12–4PM Sun: 12–4PM

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