Jack O’Lantern

Adoption Process

1. Submit Application
2. Interview
3. Home Check

Ask About Me

Adopt Me

Name of animal you are interested in

Name of Applicant

First

Last

Age

Name of Co-Applicant

Age of Co-Applicant

Driver's License Number and State *

Address

City

State

Zip Code

Home Phone

Cell Phone

Email *

Applicant's Employer and Phone Number

Position Title

Veterinarian's Name and Phone Number

Number of children in your home and their ages

Do the children live with you:

Full Time
Part Time

Number of Adults Living in Your Home (including applicant)

Is anyone home during the day?

Who will be responsible for caring for the animal?

Would you consider the location of your home to be

Urban
Suburban
Rural

Do you own or rent? (If you rent you must prove that you are allowed to have animals and whether or not there are any breed restrictions?)

Rent
Own

Landlord's Name (if applicable)

How would you describe the activity level in your home?

Active
Moderate
Quiet

Do you have a fenced in yard? *

If yes, what is the height of the fence?

If yes, how many gates do you have and how are they secured?

Why do you want to adopt an animal?

Many rescued animals have been abandoned and may have behavioral and/or emotional issues. How are you and your family prepared to deal with these issues?

Will your animal be kept:

Indoors
Outdoors
Equally indoors and outdoors
Tethered outside

How long will the animal be left alone during the day?

Please list any animals PREVIOUSLY owned (other than fish, rodents, and reptiles) and describe what happened to them.

What animals currently live in your home? Please list name, age, breed, how long you have owned them, their gender.

Are all vaccines up to date for animals living in your home? We will verify with your veterinarian.

Do you believe in spaying/neutering?

Are all animals in your home spayed/neutered? We will verify with your veterinarian.

An animal can depend on your for 14 years or more. Are you prepared for this commitment?

Have you ever given up an animal before? If yes, please explain why.

Are you willing to crate train to help with behavior issues?

Are you willing to attend behavior classes to help with behavior issues?

What will you do with your animal when you go on vacation?

What will you do with your animal if you move?

Please give the names and phone numbers of two references such as a neighbor or friend (no family members please).

Individuals who adopt from Critters 4 U Rescue Inc. are contacted periodically for an update to help ensure the animal successfully adjusts to its new home. If you adopt your animal from Critters 4 U Rescue Inc. will you consent to occasional contact to ensure your animal is doing well in your home? *

I certify that I have never been convicted of animal cruelty, abandonment, neglect, or abuse. *

If at any time an adopter cannot keep an animal, it must be returned to Critters 4 U Rescue Inc. By checking I Agree, I acknowledge that I have read this questionnaire completely, and comprehend the Adoption Application fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application of the adoption contract can result in forfeiture of the Critters 4 U Rescue Inc. animal adopted by me *

Penny

Pumpkin

Rocky

Bubba

Stuart

Espresso

Baca

Destiny

Jack O’Lantern

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