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Please Tell Us Which Pet You Are Interested In:
Applicant's Full Name:
Co-Applicant's Name (if any):
Age of Applicant, and Co-Applicant(s):
Address:
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City/State/Zip:
Apt/Suite:
Phone Number
Occupation:
Employer:
Work Address:
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Co-Applicant Occupation:
Co-Applicant Employer:
Co-Applicant Work Address:
Do you work from home?
Do you attend school?
ABOUT YOUR HOUSEHOLD:
Names and ages of all adults in the household:
Names and ages of all children in the household:
Is anyone in your home allergic to animals? If yes, explain:
Is everyone in your household in agreement about adopting a pet?
Who will be responsible for the grooming, housebreaking, and training of this pet?
Are you familiar with animal regulations in your area?
ABOUT YOUR HOME:
Do you own or rent?
If rent, list Landlord Name, Phone & Address:
Are you planning to move in the near future?
Please briefly describe your home:
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Do you have screens on all your windows?
WHY DO YOU WANT TO ADOPT?:
Why do you want to adopt a pet?
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How long have you been looking for a pet?
Do you already have a pet(s) in your home?
If yes, what kind and how old?
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Is the pet you are applying for going to be a gift?
Where will your new pet be kept during the day and night?
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If no one is home where will the pet be kept?
How many hours during a typical day will the pet be left alone?
If you should become ill, disabled, or if you should die, who will take care of your pet?
Name
Address:
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Phone Number:
Are there ANY companion animals currently living in THEIR household: (Breed, Age, Sex, Altered):
Should your adopted pet develop special needs over time, will you still keep this pet, get proper veterinary care and follow your vet's guidelines, including whatever treatments/medications/special foods are required?
Will you assume all financial responsibilities for the pet you adopt, regular veterinary care, good quality food, etc.?

PET HISTORY:

Have you had pets in the past?
How many years did you have your pet?
Have any of your pets ever gotten lost?
Reason for no longer having the pet(s)?
Have you ever given a pet to a shelter?
Please describe pets you've had in the past, (including breed, and what training they had), and your history with them:
PERSONAL REFERENCES: 
Please provide names, phone numbers, and relationship of two (see vet reference note) people not related to you:
Person one(Name, Phone, Relationship)
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Person Two(Name, Phone, Relationship)
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Person Three(Name, Phone, Relationship)
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VET REFERENCE: (If you have not had a pet and do not have a vet reference, please add a third personal reference above)
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Vet's name:
Address:
Phone number:
I understand and agree that giving false information in response to any of the questions above will disqualify me from adopting a pet from Joyful Pets, and will nullify all adoption(s) and/or adoption agreements between the applicant and Joyful Pets.
Signature:
Date
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