Adoption Application Name * E-Mail * Street Address * City, State, Zip * Phone Number * Occupation Where Do You Work? How Many Hours Will Your Pet be Home Alone Daily? * Date of Birth * Driver’s License Number *
Veterinarian Name & Phone Number * Which Pet are you interested in adopting Is This Pet for Yourself or Someone Else? * Number of People in Your Household * Number of Pets in Your Household * Ages of Children in Your Household Do You Own or Rent Your Home * Do You Live in a * House Apartment Townhome Condo Where Will Your Pet Stay When You Are Not Home? * Outside(Fenced Yard) Outside (Chained Up) Inside Confined Inside Not Confined Crate Garage If Renting Does Your Landlord Allow Pets? * Yes No
Do You Have a Fenced Yard? * Yes No How Many Hours a Day are You Away From Home? * For Dog Owners Only-What Heartworm Prevention Do You Use For Dog Owners Only - What Flea Prevention Do You Use? Are Your Current Pet’s Vaccinations Up To Date? *
Have You Ever Adopted from a Rescue/Shelter Group?
By Checking this Box I indicate that I agree to the Adoption Guidelines outlined on our website? *
By clicking SUBMIT you are stating that all of the information given in this application is true and accurate to the best of your knowledge. * IMPORTANT THINGS TO READ AND UNDERSTAND BEFORE SUBMITTING YOUR APPLICATION The Edgewater Animal Shelter reserves the right to refuse any adoption in which it determines it is not in the best interest of the pet. By submitting this form you are indicating that you have read and understood the information on this application, all of the information submitted is true, and understand that any false information could result in forfeiture of the animal. The Edgewater Animal Shelter reserves the right to perform home checks and follow up visits on the adopted pet(s) at any time, with or without warning to you, the owner. The Edgewater Animal Shelter reserves the right to repossess the pet if there is any evidence it is not well cared for or is living in dangerous circumstances. The Edgewater Animal Shelter reserves the right to conduct a background check on all adopters. There may be a 24-hour hold on the adoption until the background check is complete and the application is approved. An adopter may not adopt an animal to give as a “gift” or otherwise give away. All adopters must fill out an adoption application and sign an adoption contract. Please understand if you adopt a pet from the Edgewater Animal Shelter you accept the pet “as is” and you assume all risks of ownership, including all financial obligations. Should you no longer be able to care for your adopted pet, Edgewater Animal Shelter encourages you to return the pet to us.