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Pet Adoption Application
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This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Step One
This section is complete
This section is incomplete
2.
Ackowledgements
This section is complete
This section is incomplete
Step One
APPLICANT INFORMATION
First Name
*
Last Name
*
Middle Name
Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Email
*
Secondary Contact
Secondary Contact Phone Number
Name of Pet Applied for
*
Pet type
*
-- Select One --
Dog
Cat
Other
If other, please specify pet type:
HOUSING INFORMATION
Housing Type
*
House
Apartment
Do you Rent or Own?
*
Rent
Own
If renting, name of Landlord
Landlord Phone Number
Do you have permission from your landlord to have a pet and have you paid a pet deposit?
Yes
No
Do you have a fenced yard?
*
Yes
No
What kind of fence do you have?
On an average workday, how many hours will your pet be left alone?
*
I am adopting for (check all that apply in each column)
Myself
My Children
My Current Pet
A Service Animal
A Friend/Relative
A Companion
A Gift/Surprise
A Hunting Dog
A Guard Dog
A Mouser
Indoor Only
Mostly Indoor
Indoor/Outdoor
Mostly Outdoor
Outdoor Only
CURRENT PET INFORMATION
1. Pet's Name
Breed/Type
Age
Sex
Male
Female
Spayed/Neutered
Yes
No
Inside Pet
Yes
No
2. Pet's Name
Breed/Type
Age
Sex
Male
Female
Spayed/Neutered
Yes
No
Inside Pet
Yes
No
3. Pet's Name
Breed/Type
Age
Sex
Male
Female
Spayed/Neutered
Yes
No
Inside Pet
Yes
No
Other Pets
ADDITIONAL INFORMATION
Have you met and interacted with this pet?
*
Yes
No
If no, when is this interaction scheduled for?
If no, when is this interaction scheduled for?
If no, when is this interaction scheduled for?
Are all pets in your home spayed or neutered?
*
Yes
No
Is this pet for you or someone else?
*
Me
Someone else
If outside, what type of shelter do you have for your pet?
How long will your pet stay outside?
Where will your pet stay when you are not home?
*
Where will your pet stay at night?
*
How will your pet get exercise?
*
The veterinarian who sees and vaccinates my pets is:
*
If your pet becomes sick or injured, will you be able to manage a vet bill of several hundred dollars?
*
Are the pets you have now current on vaccinations?
Yes
No
Who will assume ownership and care of your pets should you be unable to care for them?
*
Upon approval, you new pet is ready to go immediately. Are you prepared to take your pet at this time, or will you be able to pick it up within 24 hours?
*
Have you ever had to rehome or give away a pet?
*
Yes
No
If yes, please explain the circumstances and outcome of the situation:
What would you consider unacceptable behavior in your home? (Check all that apply)
*
Biting
Barking
Destructive
Marking
Aggression with other pets
Aggression with Children
Other
If other, please explain
What steps have you taken to prepare for a new animal?
*
Continue
Ackowledgements
Please read and agree to the following:
*
I understand that Schertz Animal Services does not guarantee the temperate or my new pet, as we not have any behavioral history on the pet before it arrived at the shelter. I understand that my new pet may require some behavioral training, which I agree to provide and to give my pet time to adjust to its new home. Adoption returns for extenuating circumstances will be considered on a case by case basis and must be pre-arranged and approved by a supervisor.
I agree
Please read and agree to the following:
*
I understand that all vaccinations, tests, and vet care from the time I take my new pet home will be my responsibility and that Schertz Animal Services will not be held liable for any present or future illness or any needs of my adopted pet.
I agree
Please read and agree to the following:
*
I understand that if my application is not approved, it is not for reason of personal bias, but for the welfare of the animals and part of the policy set forth by our department.
I agree
Please read and agree to the following:
*
I understand that all adoption fees are NON-REFUNDABLE.
I agree
Please read and agree to the following:
*
I understand and will abide by all ordinances, animal limitations, and requirements in compliance with the jurisdiction in which I and the animal will reside. I understand that failure to do so may result in seizure of the adopted pet, and any other animals which are out of compliance in accordance with local ordinances.
I agree
Please read and agree to the following:
*
I understand that until my newly adopted pet leaves the Schertz Animal Services campus with me, the animal still belongs to Schertz Animal Services. As such, any medical decisions will be made solely at the discretion of SAS Staff and they are not under any obligation to consult me for approval on any procedure.
I agree
Please read and agree to the following:
*
I agree to be a responsible pet owner and that I will abide by all ordinances for the jurisdiction in which I reside, including requirements for rabies vaccinations and microchips.
I agree
Please read and agree to the following:
*
I understand that if I need to re-home my pet, I will do so responsibly. I will assist the new owner in transferring the registered microchip information. I understand that SAS is not responsible for taking the pet back.
I agree
Please read and agree to the following:
*
I am aware that the pet I am adopting may be reclaimed by his/her owner AT ANY TIME before I arrive to pick up the animal, even if it is passed the legal hold time.
I agree
Adopter's Electronic Signature
*
Date
*
Date
Leave This Blank:
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Email address
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