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Name:
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Address:
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Home phone number:
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Cell phone number:
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Work phone number:
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Email address:
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Are you the major decision maker of
the household ?
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Are you over 21 years old ?
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Which of our pets are you interested in adopting ?
Please include the name and breed of the pet.
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Is this your first pet ?
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Do you have any pets at this time ?
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Please list the pets that you currently have. List
pet's name, type of pet, breed and age:
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Are your current pets up to date on vaccines ?
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Are your current pets spayed or neutered ?
If not, why?
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What type of pets have you had in the past and
what happened to them ? Please include any pet
you have needed to find a new home for and why ?
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What is your veterinarian's name, address and
phone number ?
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Are you financially prepared for the cost of owning a
dog ? This will include food,toys. treats, bedding,
grooming and routine and emergency vet care ? (One
emergency visit can easily cost $300)
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Do you live in a house/apartment/condo ? How long
have you lived there ?
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pets. Please include your landlord's name, address
and phone number.and phone number.
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Do you have a fenced in yard ? If not how will
the dog be walked and exercised ? Please
explain.
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Please list all the people living in
your home including yourself with
their ages and their relationship
to you ?
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Do children regularly visit your home ? If yes
what are their ages ? Will the children be left
unattended with the pet ?
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Is anyone in your home allergic to animals ?
Who and what type of allergies ?
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Is anyone home all day ? Approximately
how many hours per day will the pet be left
alone ? Where will the pet be kept when
he/she is alone ?
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Where will the pet be kept when you are
home ?
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Where will your pet sleep at night ?
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Are you aware that rescue pets need time to
acclimate to their new surroundings ? How
much time are you willing to give this pet to
get used to his or her new home,
housebreaking and any behavioral problems ?
Please think about this and be honest.
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Have you done any research regarding the breed you are
applying for ? What do you know about this breed (be
specific) ?
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Are you aware of the grooming needs of the pet you are
applying for ? Who do you plan to use as your groomer ?
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Please tell us why you want a rescue pet ?
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Under what conditions would you need to
return a pet to us ?
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Have you applied anywhere else in the last 2 years
to adopt an animal ? If yes,where ? Was your
application approved ?
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Hang in there you're almost done. Last question. Do
you have any questions ?
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Thank you for wanting to help a rescue pet. In submitting this application you agree to a home check by one of our
S.C.R.A.P.S. volunteers. Home checks will be done prior to and randomly after the adoption has been finalized.
*****OUR ADOPTION FEES START AT $150.00 *****
Our adoption fees, which are non-refundable, are determined by the age, length of stay in rescue and veterinary bills
for each individual pet. All of the fees involved go towards keeping our rescue running, the nutrition and well being of
our rescued pets and the many vet bills incurred in doing so.
***S.C.R.A.P.S. INC. reserves the right to deny any application without giving a reason and apologizes for any
inconvenience this causes. We spend ALL of our time and money caring for our rescued pets and will only adopt to
homes, which we feel, would be perfect.***
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