First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County*

Email*

Home Phone

Work Phone
x

Cell Phone*

Alt Email

Are you 18 years of age or older?*
Choose one: Yes No

Which animal are you interested in adopting?*
Choose an animal: Amara Atlas Domino Haven Hayes Joan Jett Jolene Kira Morgan Norma Roxy Teddy

What traits are you looking for in a dog?

What type of home do you live in?

Do you rent or own?

If you rent please provide landlord's contact information

Do you have an HOA or live in a Deed Restricted Community?*
Choose one: Yes No

Are there any breed/weight/pet restrictions in your community?*
Choose one: Yes No

If so, what are the restrictions?*

Are you prepared to pay any required pet deposit if you rent?
Choose one: Yes No N/A

Is your home 100% fenced?*
Choose one: Yes No

What type of fence, and how high?*

Including YOURSELF, please list the names and ages of ALL persons living in or frequently visiting your household.*

Do you currently have pets in your home?

Tell us a little bit about the pets living in you home. Age/Breed/Sex/Demeaner/Special needs etc…

Have they been spayed or neutered?*
Choose one: Yes No N/A

Are they current with their shots?*
Choose one: Yes No N/A

What type of flea prevention do you use?

What type of heart worm prevention do you use?

Have you ever owned a dog before? If so please tell us about this animal and your experience with owning it.

Please list your Vet's name and phone number

How many consecutive hours will the pet spend alone during the day?

Are you comfortable with crate training your animal?*
Choose one: Yes No

Where will the pet be kept when you are not home? *

Where will the animal be kept when you are home? *

Where will the pet sleep at night? *

How are you planning to exercise the animal?*

What are you planning to feed the animal?*

Have you ever had to give up a pet? If so please explain the circumstances*

Have you ever applied to another Animal Rescue?*
Choose one: Yes No

If yes to the above, is your application still pending?*
Choose one: Yes No N/A

Have you ever been denied by a Rescue?*
Choose one: Yes No

If yes, why?

List contact information for 2 personal references that are NOT related*

I acknolwedge and agree to an in-home visit by Animal Advocates if required*
Choose one: Yes No

How did you hear about Animal Advocates FL?*

If you have any extra information you would like to add to this application please write below:

I understand that Animal Advocates obtains pets that are strays or from a third party and therefore all information regarding its age, breed, health status and/or temperament is estimated and is not warranted or guaranteed by Animal Advocates. If I adopt a pet from Animal Advocates I agree to keep it as an indoor pet, treat it humanely and provide for it's medical needs. I will not allow the pet to roam free or become a nuisance, nor to be used for experimental purposes. I will not sell, give away, destroy or otherwise dispose of the pet without notifying and obtaining permission from Animal Advocates. I understand that the stated minimum adoption donation is not a reflection of the direct costs incurred by Animal Advocates for this specific pet and will be applied to the overall general costs of operating a no-kill animal rescue. If I adopt a pet from Animal Advocates, I agree to keep my contact information current on the Animal Advocates website so that I may be contacted should my pet become lost and returned to Animal Advocates. I certify that the information entered on this application is truthful and I have not tried to mislead Animal Advocates in any manner by my answers. (Name and Date)*

Please check box as indicated