First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Cell Phone*

Name of pet:*

Type of pet*

Enter the Animal ID

Do you plan to keep your new pet Inside, Outside or Both?*

Do you own or rent your home?*

How long have you lived at your current address? (Years & Months)*

If renting, do you have permission to have a pet?*

If you rent, please provide the name and phone # of your property management company or landlord. Otherwise enter N/A.*

Is there a limit as to how many pets you can have where you live? If so, what is it?*

Is there a weight limit to the pets allowed? If yes, what is it?*

Are there pet restrictions where you live? If so, what are they?*

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List all Pets you currently have.

----  PET #1  ----

Name

Type

Age

Sex

Is the animal spayed or neutered?

(Dog) Does the animal receive monthly heartworm preventative?

Is the animal current on vaccinations?

Is the animal microchipped?

Does the animal wear ID tags at all times?

Does the animal receive monthly flea treatment?

(Cat) Is the animal declawed?

----  PET #2  ----

Name

Type of Animal

Age

Sex

Is the animal spayed or neutered?

(Dog)Does the animal receive monthly Heartworm preventative?

Is the animal current on vaccinations?

Is the animal microchipped?

Does the animal wear ID tags at all times?

Does the animal receive monthly flea treatment?

(Cat) Is the animal declawed?

Please list any additional pets in the home including similar information as above if applicable.

================================================== ==================================================

If any cats or dogs in your home are not spayed or neutered, would you be willing to have it done? (We can provide information on low cost options)*

List all members of your household, including yourself. Please include First & Last Name, Relationship, Age & Pet Allergies.*

Does anyone in your household have allergies to animals? If so, please explain.*

Name and phone of current Vet practice. If you don't currently have a Vet, have you picked one out yet? If so, which one?*

When was your last vet visit and for what reason?*

Will you allow an OPA representative to visit your home?*

Are you willing to take responsibility for this pet for the rest of its life keeping in mind that dogs live an average of 10-13 years and cats 12-18 years?*

Are you willing to spend the necessary money for vet bills that may be incurred to keep your pet healthy, knowing in advance that the average yearly cost of having a pet is approximately $700 - $2,000. *

Who will be the primary caretaker for the pet (feeding, attention, training, exercise)?*

Where will the pet sleep?*

How many hours a day on average will your pet be left alone?*

Where will the pet be kept while you are away from home?*

Have you ever sold, given away or surrendered a pet to a shelter or another individual?*

If yes, please explain.

What will happen to this pet if you move?*

What will happen to this pet if you can no longer care for it?*

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The next question is specific to CATS. If not adopting a cat, choose N/A.

Cats

Are you planning to declaw your cat or kitten?*

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The next few questions are specific to DOGS. If not adopting a Dog, choose N/A.

Questions specific to DOGS

Are you familiar with the use of a crate to housetrain and provide a safe place for your pet to stay when you are away?*

If not, are you willing to learn and use this technique?*

Is your yard fenced?*

If yes, please describe the type of fence and the approximate height.

Dogs need daily exercise! Please explain what kind of daily exercise you plan to provide.*

Will you consider obedience training classes or seek the help of a professional behavioral specialist to help you learn proven methods of dog training for unwanted behaviors?*

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I attest that the information provided on this contract is true and accurate to the best of my knowledge. I hereby permit Operations Pets Alive! (OPA) to contact my veterinarian. If for any reason I am unable to keep an adopted pet from OPA for its entire life, I will contact OPA and make arrangements to return the pet. Further, I agree not to sell, give away or dispose of the pet in any other manner (except euthanasia for medical reasons at the advice of a licensed vet) without prior consent of OPA. *

By typing my name below, I attest that I agree to all terms and conditions set out in this contract.*

~ PRINT OR SAVE THIS SCREEN NOW TO HAVE A COPY TO KEEP FOR YOUR RECORDS. *BRING A COPY TO ADOPTION EVENTS OR WHEN MEETING A POTENTIAL ADOPTABLE PET PLEASE SO YOU DO NOT HAVE TO COMPLETE ANOTHER ONE! ~

*There may be a delay after pressing the "Submit" button before getting a confirmation message and/or it may appear as if you did not press the button. Please wait a few seconds before pressing again.