Silver Lake Animal Rescue Adoption Application
Please fill out this form as completely as possible
Tell us about you
Name of pet applying for:
Your name:
Your age:
Your email:
Your street address:
Your city:
Your state:
Your Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Employer:
Employer's Address:
List all members of your household with age and relationship:
Do you own or rent your residence?
Own
Rent
If you rent, please provide your landlord's name:
Landlord's Phone:
Tell us about your pets
List all companion animals that reside with your family (breed, sex, age, spayed or neutered):
If pet passed away recently, please provide the circumstances:
Where will your new pet be kept:
Is anyone in your household allergic to dogs or cats?
Yes
No
Where will your pet sleep at night?
Do you have a fenced in yard?
Yes
No
How high is the fence?
What type is the fence?
Have you ever released a pet to a shelter?
Yes
No
Explain:
Under what circumstances would you ever give up a pet?
How much do you think it will cost to feed your pet?
What brand of food will you feed your pet?
How much for medical expenses?
How many hours will your pet be left alone per day?
Your veterinarian's name:
Veterinarian's Phone:
Special comments here:
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