Pet Adoption Application

Pet Adoption Application
Thank you for choosing adoption!

Please complete the following questions to help guide our conversation today.
Date*

MonthDayYear
Date
Pet Name*
PetPoint ID#*
Your Name(s)*
Address*

Street

Street Address Line 2

CityState / Province

Zip
Email*
Phone*
Preferred form of contact*

PhoneEmail
Best time to contact*

MorningAfternoonEvening
We welcome adopters who rent, or live in an apartment or condo. We want to alert you that some landlords and management companies have size and breed restrictions, limits on number of pets, and/or require pet deposits or additional fees.
1. Do you own or rent? CAS will contact rental property managers to verify that pets are allowed at residence.*

OwnRent
Landlord/Property Owner Name*
Landlord/Property Owner Phone #*
How many adults are in the household?*
How many children are in the household?*
Do you have one or more dogs?*

YesNo
How many dogs?*
Do you have one or more cats?*

YesNo
How many cats?*
Do you have one or more small animal?*

YesNo
Do you have livestock and/or chickens?*

YesNo
Are your current pets spayed/neutered?*

YesNo and do not plan toNo, but plan toI don't have pets
Are your current pets up to date on Rabies vaccinations?*

YesNo
Will the pets(s) be housed inside or outdoors?*
Is your yard securely fenced?*
Do you have adequate shelter?*
A fenced yard is required for dog adoptions unless in an apartment complex
5. If approved, do you accept full medical, handling, and training responsibilities that come with having a pet?*

YesNo
Other info you want to share?
We'll explain this new pet's medical history and behavioral history. Check additional topics you'd like to discuss:

Feeding this petDeclawingHouse-training/litter box trainingCrate-trainingGrooming/nail trimmingMoving with petsPuppy/kitten-proofing your homePulling on-leashFinding a trainerFlea/tick preventionIntroducing this pet to other petsHeartworm preventionMicrochips and other ID optionsExercise, toys, and fun activitiesFinding a veterinarian
Other questions?
Extra services and opportunities; check any you are interested in:

Information on low-cost vaccinations for current petsInformation on low-cost microchips for current petsInformation about low-cost spay and neuter services and other veterinary servicesInformation about volunteering with usInformation about supporting us with financial or in kind donationsJoin our email/mailing list for updates/events/specials (CAS will NOT distribute your info to a third party)
Please note applications may take 24-72 hours to process. Once notified of approval, a confirmation of intent to adopt is required within 24 hours. Adopted animals must be claimed within 48 hours of notification unless prior arrangements have been made with Animal Services Manager. If pet is not claimed after 48 hours, pet will be relisted as available for adoption. Cleburne Animal Services reserves the right to refuse adoption of pets due to health, behavior, or if potential adopter cannot meet the criteria for pet adoption. Applicants must be at least 18 years old and have valid picture ID. This application is to help to CAS match pets with new owners and help prevent the return of pets. Please initial to show you have read and understand this statement:
Initials*

Clear
OFFICE USE ONLY
This application is for (write name of pet here)
Adoption application

ApprovedNot Approved
Notes
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Pet Adoption Application

OFFICE USE ONLY