Pets4Progress

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Adoption Application

Thank you for your interest in adopting through Pets4Progress. To be considered, you must be 21 years of age or older and show proof of residence and permission of landlord (if applicable).

Completion of application does not guarantee adoption approval.

Email address *

Name of Pet You Are Interested in Adopting: *

Your Name & Age: *

Phone Number *

Address (include city, state, zip code) *

Driver's License Number & State Issued *

Please list other pets in the home (include breed, size/weight): *

If you have other pets, how does each respond to other animals:

If you have pets, are they all spayed/neutered?

Yes

Have you ever surrendered a pet to a shelter, rescue, family member or friend or had a pet go missing? Please explain the situation if so: *

Have you ever had a pet euthanized? Please explain if so: *

Please list all individuals living in the home (include names, ages & relationship to you): *

How many hours per day will an animal be alone at home? *

What type of home do you live in (apartment, 2-story house, condo, mobile home, how many acres, etc.)? *

Do you rent or own? *

Rent

Own

If you rent, please list name and phone number of your landlord:

Do you have a fenced yard? *

Yes

If you are away for a lengthy amount of time (vacation, etc), who will care for your pet(s)? Please list name and phone number: *

Please list name and phone number for your current veterinarian or one that you plan to use: *

Please list one personal reference who is not a relative (name and phone number): *

Have you ever had a complaint filed against you for or been convicted of abuse/neglect of an animal or child? *

Yes

Are you willing to have a representative from Pets4Progress complete a home check at your residence? *

Yes

Any other relevant information you would like for us to know?

A representative will be in touch after reviewing application.

Thank you for your interest in adopting from Pets4Progress and for supporting shelter animals!

Adoption Application

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