Dogs & Cats Forever, Inc. Adoption Application

In order to be considered for receiving a pet from Dogs & Cats Forever, you must:
1) Be at least 18 years of age
2) Have knowledge and consent of all adults in your household
3) Have a valid picture ID with your current address

Please complete the ENTIRE form

Pets Name Today's Date

Your Name Drivers License: State

Address City State Zip Code

Telephone Home Work Cell Be sure to include Area Code

Housing Rent Own Home Own Condo

If renting name of landlord: Telephone number:

Length at current address: Years Months —Number in household: Adults Children

Who will have primary responsibility for the pet?

Pets you have owned in the last 5 years: Dogs Cats Other

Disposition of present pet(s):

Name of Veterinarian:

Are all current pets up-to-date on vaccinations? Yes No

If you move in the future, what will happen with your pet(s)?

Are you financially able to properly care for your pet(s)? Yes No
(Average food & medical bill per pet is approx. $400/year)

Do you or any member of your household have pet allergies? Yes No

If so, explain:

How much time do you plan to spend (per day) giving your pet physical/emotional attention? hrs.

Have you ever adopted a pet before? Yes No

Where is the pet now?

Have you ever surrendered a pet before? Yes No

If so what were the circumstances?

I certify that all the above information is true and correct. I agree to and will adhere to the adoption policies of Dogs & Cats Forever, Inc. I agree to pay the current adoption fees. A representative of Dogs & Cats Forever, Inc. will be allowed to have periodic visitation during the first year of adoption.

By typing your initials you are signing the above form: