Applications

Has any person residing the the home where the pet is to live ever been accused of, or convicted of, a crime involving cruelty to, or neglect of, an animal?

Have you ever had an application denied for adoption of an animal from an animal welfare group/animal control facility?

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How many pets do you CURRENTLY have?

1.) Name: Type: Breed/Size:

Age: Gender: Spayed/Neutered?

Primarily indoor or outdoor?

When & how did you get the pet?

2.) Name: Type: Breed/Size:

Age: Gender: Spayed/Neutered?

Primarily indoor or outdoor?

When & how did you get the pet?

3.) Name:

PROCEDURE: Complete application. Committee will review application. If approved to be considered for adopting you will be notified. You will then pay the adoption fee and a meeting for pet introductions will be scheduled. If, for some reason, the adoption is not approved, the adoption fee will be refunded.

“Pet ownership is a major responsibility and one that should not be taken lightly. Cinderella Pet Rescue, Inc. (CPR) makes an ongoing effort to find the best possible homes for the animals. We ask that you make the effort to fill out this application and be prepared to spend time discussing it with one of our adoption representatives. Please understand that many times, multiple qualified applications may be received for a pet and the committee will make the final decision as to which home seems like the best fit. Sometimes, a meeting with the pet is scheduled prior to a final decision being made. You will be notified as to the status of your application .”

In order to be considered for an adoption, or to foster an animal, you must: Be 18 years of age * Willing and able to provide loving attention, medical care, and lifetime stability for a pet. * Have the knowledge and consent of all adults living in your household * Have a valid ID with current address * Have landlord’s name and telephone number (or lease) * Understand that Cinderella Pet Rescue, Inc. must approve your application (based on the policies set by the board of directors.) * Agree to be fully responsible for the pet while in your care and understand that CPR makes no claims nor warrants the health or behavior of any animals made available for foster or adoption. Because the history of most animals offered by rescue organizations is often vague, CPR cannot guarantee the health or behavior of any pet. As such, all persons fostering or adopting a pet must hold harmless CPR, all staff, volunteers, affiliated organizations or companies, from any and all claims now or in the future. By signing this pet adoption/foster application you are agreeing to hold harmless and release from liability CPR, all CPR staff, volunteers, veterinarians, facility landlord and all affiliated organizations and companies from any illness, injury, death or damage that may result from fostering or adopting a pet from CPR.

Today's Date: Applying to: Name of dog, if known:

Check preferences for dog:

Select preferred characteristics :

My new dog must be able to get along with:

Are you willing to take the time to housetrain a dog?

Do you understand that changing a dog's environment may cause the dog to have accidents?

If a behavior problem arises, what steps will you take to work on it?

Will you take obedience training if needed?

Does a member of your household have an allergy to animals?

If yes,

explain:

Who are you adopting the dog for?

How many people live in your home?

If children present, list: Number of boys: Ages:

Number of girls: Ages:

Who will be responsible for feeding and taking dog outside?

What kind of pets have you owned?

When you are home where will dog be kept?

Where will pet sleep?

How many hours will the pet be left unattended (e.g. workday)?

When no one is home, where will dog be kept?

How often do you travel?

What will you do with pet when you travel?

If you move, what will you do with the dog?

Have you, or your spouse, been in the military?

Have ALL ADULT family members agreed upon adopting the pet?

Has anyone in your family, or residing in your home, surrendered/relinquished a pet to an animal shelter or humane society?

Has any person residing in the home where the pet is to live ever been accused of, or convicted of, a crime involving cruelty to, or neglect of, an animal?

Have you ever had an application denied for adoption of an animal from an animal welfare group/animal control facility?

Do you currently have an application pending for a pet with another organization?

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C-1) Name: Type: Breed/Size:

Age: Gender: Spayed/Neutered?

Primarily indoor or outdoor?

When & how did you get the pet?

C-2) Name: Type: Breed/Size:

Age: Gender: Spayed/Neutered?

Primarily indoor or outdoor?

When & how did you get the pet?

C-3) Name: Type: Breed/Size:

Age: Gender: Spayed/Neutered:

Primarily indoor or outdoor?

When & how did you get the pet?

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PREVIOUS PETS

(Pets you no longer have, but owned in the last six years) # of Previous Pets:

P-1) Name: Type: Breed/Size:

Age: Gender: Spayed/Neutered:

Primarily indoor or outdoor?

When & how did you get the pet?

Year you last had pet?

Why you no longer have pet:

Cause of death or where pet is now:

P-2) Name: Type: Breed/Size:

Age: Gender: Spayed/Neutered:

Primarily indoor or outdoor?

When & how did you get the pet?

Year you last had pet?

Why you no longer have pet?

Cause of death or where pet is now:

P-3) Name: Type: Breed/Size:

Age: Gender: Spayed/Neutered:

Primarily indoor or outdoor?

When & how did you get the pet?

Year you last had pet?

Why you no longer have pet?

Cause of death or where pet is now:

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List each veterinarian/animal hospital where your animal(s) received care during the last 10 years:

V-1) Name of vet or clinic:

Phone Number:

Owner name(s) records are listed under:

V-2) Name of vet or clinic:

Phone Number:

Owner name(s) records are listed under:

V-3) Name of vet or clinic:

Phone Number:

Owner name(s) records are listed under:

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Name of veterinarian to be used for this pet:

What type of home do you live in?

Do you own or rent your residence?

If you rent, Landlord name: Landlord Phone #:

What type of pets are allowed? Maximum Size:

If you have rented current residence for less than a year, provide prior address & landlord phone number:

Previous address:

Landlord's name: Landlord phone #:

Do you have a fenced yard? If yes, what type of fence?

How tall? (Give range of heights, if applicable): Any holes or gaps?

Does the fence belong to you or neighbors?

Do you want the dog to be:

How often will you exercise the dog? -for how long?

"I have read the above information carefully and have filled out this application honestly. I understand that falsification or omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand that Cinderella Pet Rescue, Inc. (CPR) reserves the right to annul the adoption and reclaim the animal. I give CPR permission to fully investigate the information provided as well as contact veterinarians and related officials. If the application passes this review, I agree to a home and yard visit on a mutually agreed date by a CPR volunteer before an adoption can be further considered for approval.

In addition, I understand the adoption decision is dependent on many factors, including, but not limited to, the compatibility of the family and home to the individual animal, and other applications received on this animal. I understand it is the prerogative of CPR to decide which home is most appropriate and that their decision is final, and as such I will not argue with the decision. Unless otherwise indicated by CPR, I am free to apply and undergo the application process in the future."

Today's Date:

Applicant(s) Name:

Signature:

Address:

City: State: Zip:

Place of Employment: Since (mo/yr)

E-mail Address:

Cell Phone:

Home Phone: Other: Work:

Optional: Provide information that might influence the decision of the Adoption Committee: