Sabbath Memorial Dog Rescue Center, Inc. 305-799-1567

Where Love Has No Boundaries - Sabbath Memorial Dog Rescue, Inc. 305-799-1567 Robbie Coy

Adoption Form

Sabbath Memorial Rescue Center, Inc.


SabbathRescueMDR@gmail.com

305-799-1567

Adoption/Foster Application

Date: ___________ Name of  Dog Desired: _________________

Name: _________________________________________________________

Address: ____________________________ Apt. # __________________

City/State/Zip: _______________Home Phone ______________________

Employer: ___________________Work Phone ______________________

Driverís License Number: ________________________________________

E-Mail Address: ______________________________________________

1) Do you live in a: | Condominium | Apt. |House | Mobile Home | Townhouse | Other

2) How long have you lived at this address?_______

3) Do you | Rent | Own | Other: Explain ______________________

4) If you rent:

           (a) Is your lease | Yearly | Month-to-Month | Week-to-Week

           (b) Name & phone # of landlord:______________________________

           (c) Landlord approval | Yes | No | Unsure

           (d) Restrictions (i.e., weight limit of pet) ___________________

5) Are you ?a member of a Condo or Home Owners Association? ______

          (a) Name of complex/association: _______________________

          (b) Restrictions (i.e., weight limit of pet) ___________________

6) How many adults reside in the household? _______________________

7) Are there children living in your home? _______  Ages? ___________

8) What are you looking ?to adopt? | Dog | Puppy |

9) Have you ever turned in an animal to an animal shelter before?  ____

   If yes, reason? ____________________________________________

10) Does it matter if the pet is housebroken?   _____

11) Would there be anyone home during the day?  __________

   If yes, who? ___________________________________________

12) Has anyone in the household ever had an allergy to animal hair? ____

13) How many pets have you owned in the last 5 years? _____________

N/A: If you no longer have these pets, what is the reason______________

14) How many dogs are currently in your home? _____________________

           (a) Breed/Sex of dogs: __________________________________

           (b) Are they spayed/neutered? ____________

           (c) Do your dogs live  ! Outdoors  !  Indoors

           (d) Are they up-to-date on their vaccines? ! Yes  ! No  ! Unsure

           (e) What brand of dog food do you buy? _________________________

           (d) Are they up-to-date on their vaccines? | Yes | No | Unsure

           (e) What brand of cat food do you buy? ________________________

17) Would your new pet be living | Indoors| Outdoors | Both

18) Where will your new pet sleep? _______________________________

19) Where will your new pet be when no one is home? __________________

20) Where will you new pet be while you are at home? __________________

21) Is your ?yard fenced? | Yes | No

If yes, type of fence  _________ and height _________________

22)             Which of the following will be provided for your new pet?

Doghouse |Patio | Porch | Crate/Cage | Chain/Tie | Walks

23) How do you control fleas/ticks on your pets? _________________

24) Who is your veterinarian?  _________________________________

Phone # _________________Location ___________________________

25) Why do you want to adopt a pet rather than purchase one? ______________________

I agree that all information that I have given is correct as written.

Signature: _____________________________________________Date:_______________

Amount Paid:___$___________________

 

Phone: 305-799-1567

Email:

SabbathRescueMDR@gmail.com

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SabbathMDR@gmail.com

305-799-1567

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