Bobbi and the Strays Adoption Application

Date

Assisted By :

1. Type of animal you wish to adopt:

DogCat

2. Name of pet you are interested in adopting

3. Why have you chosen this dog or cat ?

Please explain what you are looking for in a pet ? What breed or breeds (mixed breed), personality, size, age, energy level, etc.

First Name *

Last Name *

E-mail Address *

Street Address

City

State

Zip

Home Phone

Work Phone

Cell Phone

4. Do you currently have any cats ?

YesNo

How Many ?

a. Are they spayed/neutered ?

YesNo

b. Are they declawed ?

YesNo

c. Are they indoor or outdoor pets ?

Indoor OnlyOutdoor OnlyIndoor/Outdoor

5. Do you plan to declaw your cats ?

YesNo

6. Do you currently have any dogs ?

YesNo

How Many ?

d. Are they spayed/neutered ?

YesNo

f. Are they indoor or outdoor pets ?

Indoor OnlyOutdoor OnlyIndoor/Outdoor

7. Have you owned a dog or cat before ?

Cat:

YesNo

Dog:

YesNo

Please tell us about these pets including their name

8. Have you ever had to give up a pet ?

YesNo

Why ?

9. Where did you bring them/leave them ?

Name of your vet clinic

Phone

Name of your veterinarian

(If you do not have a veterinarian now, please provide the one that you will be using after you adopt.)

10. Do you own or rent ?

OwnRent

11. If renting, do have permission to have a pet ?

YesNo

Landlord's name

Phone

E-mail

Landlord's address

12. Do you currently have access to a yard ?

YesNo

Fence height

13. Do you have screens on ALL of your windows ?

YesNo

14. To what areas will your adopted pet have access ?

Indoor OnlyOutdoor OnlyIndoor/Outdoor

15. Where will your pet sleep ?

16. How many hours will your pet be alone in a typical day ?

Number of adults in your household

Number of teens/children in your household and their ages

a. Have children been taught how to interact with a dog and/or cat ?

YesNo

b. Will they be supervised ?

YesNo

c. Will you be teaching animal security in your home ? (Don't leave doors open, be careful to always close gates, fences, etc.)?

YesNo

d. Is anyone in your home allergic to pet hair and/or dander ? (If you are not sure, this must be verified prior to adoption.)

YesNo

17. Do you travel often ?

YesNo

How often ?

18. If yes, who will be caring for your pet while you are away? (Please provide details of how often someone will care for your pet, or if it will be boarded, please provide name and address of boarding facility.)

19. If a behavioral problem arises, are you prepared to invest the time and expense for professional help ?

YesNo

20. Do you feel that you are able to support this pet for its entire life? (A silly question to some, but medical bills, pet food and, if necessary, grooming can be very expensive.)

YesNo

21. Do we have your approval to visit your home ?

YesNo

22. Are there any other comments or information that you would like to add ?

Please provide three (3) personal references (Other than a family member):

I) Name

Phone

Relationship to you

II) Name

Phone

Relationship to you

III) Name

Phone

Relationship to you

Name of Your Employer

Phone Number

How long have you been employed at this company?

Business Hours

23. Please note that an adoption donation is required to cover spay/neuter and vaccination costs. Do you understand this ?

YesNo

24. Please also note that Bobbi and the Strays has a return policy on all pets that we adopt out. This policy requires that if you ever have to give up your pet, you must contact us. Do you understand this ?

YesNo

For Internal Use Only

Assisted By :

Bobbi Notified :

HV Completed :

Approved / Disapproved :

Comments :

Bobbi and the Strays Adoption/Foster Application

1. Type of animal you wish to adopt:

4. Do you currently have any cats ?

a. Are they spayed/neutered ?

b. Are they declawed ?

c. Are they indoor or outdoor pets ?

5. Do you plan to declaw your cats ?

6. Do you currently have any dogs ?

d. Are they spayed/neutered ?

f. Are they indoor or outdoor pets ?

Cat:

Dog:

8. Have you ever had to give up a pet ?

10. Do you own or rent ?

Type of dwelling ;

11. If renting, do have permission to have a pet ?

12. Do you currently have access to a yard ?

13. Do you have screens on ALL of your windows ?

14. To what areas will your adopted pet have access ?

a. Have children been taught how to interact with a dog and/or cat ?

b. Will they be supervised ?

c. Will you be teaching animal security in your home ? (Don't leave doors open, be careful to always close gates, fences, etc.)?

d. Is anyone in your home allergic to pet hair and/or dander ? (If you are not sure, this must be verified prior to adoption.)

17. Do you travel often ?

19. If a behavioral problem arises, are you prepared to invest the time and expense for professional help ?

20. Do you feel that you are able to support this pet for its entire life? (A silly question to some, but medical bills, pet food and, if necessary, grooming can be very expensive.)

21. Do we have your approval to visit your home ?

23. Please note that an adoption donation is required to cover spay/neuter and vaccination costs. Do you understand this ?

24. Please also note that Bobbi and the Strays has a return policy on all pets that we adopt out. This policy requires that if you ever have to give up your pet, you must contact us. Do you understand this ?

For Internal Use Only

Adoption Center/Shelter Located at The Shops at Atlas Park Mall

Adoption Center/Shelter Located in Freeport, Nassau County