We are so happy to see you!

Thank you for your interest in adopting an orphaned animal - it means the world to them! Let us know if you have any questions at adoptions@senanimalrescue.org

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PLEASE PROVIDE INFORMATION ABOUT YOU AND YOUR HOUSEHOLD
We have animals in our care because not everyone treats them well. We have to make sure that they go to a better place than from the one they came from. Thank you for your understanding!

Dog(s) Name(s)

Full name

Occupation

Employer Name

Spouse's/Partner's Name, Occupation, Employer Name (n/a if not applicable)

Home Address, City, Zipcode

How long at this address

Daytime Phone

Evening Phone

Best time to call

E-mail address

Link to your social media profile (Facebook, LinkedIn, Instagram, ect.)

How many adults live with you in your house; their relationship to you? (if none, write n/a)

How many children (ages)? (if none, write n/a)

What pets currently live with you (specify species, breed, and age) (if none, write n/a)

Are these pets up to date on vaccines? (n/a if not applicable)

yes

Housing

Rent

Own

Live with parents

What type of home do you live in (single family house, townhome, apartment, condo, mobile home, etc.)?

Do you have a yard?

No, no yard

Yes, fenced yard

Yes, unfenced yard

How tall is your fence? (write n/a if no yard or unfenced)

Are there any slats/openings that could allow a small animal to get in/out? (n/a if not applicable)

If you rent, please describe the rules governing pets and the landlord’s name and number (n/a if you own, we may ask proof of ownership).

Does anyone in the house have a known allergy to pets?

yes

Is everyone in agreement with the decision to adopt a pet?

yes

Do you have time to provide adequate love and attention?

yes

Who will have primary responsibility for this pet's daily care?

Who will have financial responsibility for this pet?

Have you ever had a pet (specify species, breed, age)? What happened to the pet(s) (deceased, lost, gave away, still have, etc.)?

Were these pets spayed/neutered? If not, why?

Have you ever surrendered a pet? If so, why?

Have you ever had a pet euthanized? If so, why?

Have you ever lost a pet to an accident? If so, please explain.

Do you have a regular veterinarian?

yes

Veterinarian’s name or n/a

Clinic name, address and phone number or n/a

Do you agree to provide regular health care by a Licensed Veterinarian?

yes

Where will the cat(s) spend the day? (describe)

Where will the cat(s) spend the night? (describe)

Number of hours (average) cat(s) will spend alone?

What will you do with your cat(s) if you go on vacation?

What will you do if your new cat(s) doesn't get along with your other pets?

What will you do if your new cat(s) requires medical treatment exceeding your budget? What will you consider as unreasonable amount to treat a cat for disease or injury?

Do you understand that sometimes a complete history and temperament of a rescue pet may not be known?

yes

How will you work on possible problems (scratching furniture, litter box issues, etc.) ?

Why do you feel that you and your family and this particular cat are a good match?

Do you agree to contact us if you can no longer keep this cat?

yes

Will you be willing to let our representative visit your home by appointment?

yes

How did you hear about us?

Pledge: All of the information I have given is true and complete. This animal will reside in my home as a pet. I will provide it with quality pet food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.

We could not submit your answers. Check if you missed some required fields and try again.

Thank you! We will bet back to you soon!

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Love animals? Ever considered fostering?

You travel from time to time? Not a problem! Fostering is temporary but plays an essential part in rescuing orphaned animals! Let's chat and discuss possibilities! Email to info@senanimalrescue.org