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Pet Adoption Application

Thank you for your interest in providing a lifelong home for one of our dogs/cats. The completion of this questionnaire is the first step towards what we hope will be many years of happiness for both you and our rescue dog/cat. Once you’ve answered all the questions, a volunteer will review your application which may take 1 – 2 days and may also have follow-up questions to ask.

Please understand that we want the best fit for you and the rescue dog/cat.

Completing this process does not guarantee an adoption approval. We want the best match of personality, temperament, and home environment for both the adoptive family and the dog/cat. We are looking out for the best interests of our animals. We are the only voice they have.

If your application is approved, you will be asked to sign a legally binding contract when adopting your dog/cat.

Conditions of Adoption:

· Valid identification

· If renting, copy of lease that states pets are permitted.

· Ability and willingness to spend the time and money necessary to provide training, medical treatment and proper care.

· Willingness to provide a lifelong commitment to the care and well-being of your pet(s).

· In-home visit with family, pets, and the prospective adoptive dog/cat

Companion Animal Care of Brevard County, FL reserves the right to refuse the adoption of an animal without stating a reason.

Date

Month

Day

Year

Pet you are interested in*

Your name*

Spouse's name*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Phone (1)*

Email*

How long have you lived at this address?*

Is there a pet deposit?*

Yes

Any lease size or number of pet restrictions?*

Yes

Do you own your home?*

Yes

Is your yard fenced?*

Yes

List the ages of all adults and children living in the household*

Have you ever owned a dog/cat before?*

Yes

Why do you want to adopt this animal?*

How many hours will your pet be left alone per day?*

List where your pet will be during the day, during the night, and when left alone*

Will your pet be allowed:*

on furniture

on counters

on beds

in the car

Do you have a dog/ cat door that leads outside?*

Yes

Are you willing to permit a home check by a volunteer?*

Yes

Are you willing to stay in touch with the foster parent?*

Yes

Do you or anyone in your family have allergies to hair or dust?*

Yes

How frequently do you go away?*

What arrangements would you make for your pet(s)?*

List any animals currently living at your own*

Are all your pets current on vaccines?*

Yes

Are any of your cats declawed?*

Yes

No/ N/A

Has your cat ever been around dogs?*

Yes

No/ N/A

Are any of your animals NOT spayed/ neutered?*

Yes

No/ N/A

Are you aware of the yearly cost of maintaining a healthy pet, consisting of but not limited to yearly vaccinations, monthly flea and tick, heartworm prevention, healthy food, toys and unforeseen incidences such as illness or an accident?*

Yes

While it is our intention to find forever homes for our animals, we do recognize that some unforeseen events occur that cause the need to give up a cherished pet. In that event, we require that you return the animal to us.

This saves you from the stress of trying to find a new home for your pet, and it saves us from the heartbreak of finding out one of our rescues is in danger of being euthanized at a shelter or placed in an unapproved home not familiar with our policy.

For this reason, we include a clause in the adoption contract that you return the animal to us should you not be able to keep him/her regardless of the reason. Our goal is to find good homes for our animals, please trust us to do so.

By signing/typing my name on this form, I acknowledge that I have read and understand the contract and return policy of Companion Animal Care of Brevard County, Inc.

Signature*

Signature field is empty.

Companion Animal Care (CAC) of Brevard County, FL ministers to those living on the Space Coast.

We are an approved I.R.S. 501(c)3 tax exempt nonprofit.