Pet Choice #1 (name of the pet in our system) Pet Choice #2 (name of the pet in our system) Please list any preferences (dog or cat, age, sex, breed, color, personality): * Applicant Information Primary Phone * Secondary Phone How long have you lived at this address? * Employment What is the name of your employer? * How long have you worked there? * Tell Us Why You Want to Adopt and What Your Home Life Is Like For whom are you adopting the pet? * Why do you want to adopt a pet? * Who will be the main caregiver of the pet? * Does everyone in your household agree to adopting the pet? * What do you think are the most important responsibilities in owning a pet? * Your age: * Who do you live with? (Check all that apply) * Are there any children in the house? * If yes, what are their ages? How many adults (18 or older) live in your household? * Your New Pet Dog's living situation (check all that apply): * If other, please specify: When home alone, the pet will be (check all that apply) * If other, please specify: If adopting a dog, how will you exercise the dog? (Check all that apply) * If other, please specify: Where will the pet sleep at night? * Is the yard enclosed by a fence? If yes, what is the height, length, and type of fence? * What type of residence do you have? * If other, please specify: If you are renting, please provide the Landlord's name and phone number for verification of pet policy: If your landlord allows pets, is there a weight/size/breed restriction? If yes, what is the restriction? Other Pets and Experience Do you have other pets living with you now? * If yes, please list what type of dog or cat, breed, age, neutered or spayed, owned for how long? If you are applying for a puppy or dog that is not housetrained, how will you housetrain the dog? How do you plan on transitioning this new pet into your home? * Are you familiar with heartworm disease and how to prevent it? * Have you ever given up a pet for adoption? * If yes, please explain: Vet Reference: *
Please provide the name and phone number of your current veterinarian(s) or the one who saw your previous pet(s). Vet references are required if you have previously owned or currently own a pet.
Personal Reference: *
Please provide the name and phone number of a personal reference not related to the applicant(s). Personal reference is required.
Please provide any additional information you would like to include about yourself and/or the dog you would like to adopt:
How did you hear about us? Thank you for your interest in adopting a Royal Animal Refuge pet!
Royal Animal Refuge is funded solely by donations. Royal Animal Refuge has a 501(c)(3) status.
I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined.
Also, if an omission or untruth is discovered after an adoption takes place, I understand that the Royal Animal Refuge reserves the right to annul the adoption and reclaim the animal. I grant Royal Animal Refuge full permission to verify the information provided as well as contact veterinarians and other references. If the application passes the review, I agree to a home and yard visit on a mutually agreed date by a Royal Animal Refuge staff or volunteer before an adoption decision is made.
Royal Animal Refuge reserves the right to refuse any adoption. Signature (please type your full name) *