Which Rescue Faerie pet are you interested in?
Why did you choose this particular pet?
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Why do you want to adopt a new pet?
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Are there any other Rescue Faerie pets that you may also be interested in?
Name
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First Name
Last Name
Date of Birth:
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Driver’s License/ID #:
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Street Address:
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City:
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State:
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Zip:
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County:
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Phone Number:
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Email Address
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Do you work outside of your home?
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What is your plan for your pet while you’re not home?
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Type of residence: (i.e. house, townhome, condo, apartment, etc.)
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Do you:
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Name of property management or home owners:
Phone number of owner
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Do you plan to move soon?
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Do you consent to a home inspection prior to adoption?
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Who are you adopting this pet for?
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How many adults live in your household other than yourself?
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Name:
Driver’s License/ID #:
Issuing State:
Name:
Driver’s License/ID #:
Issuing State:
Name:
Driver’s License/ID #:
Issuing State:
If there are more adults in your home, please list their information here:
How many children live in your household?
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What are their ages?
Are there any other children that would come in contact with the pet? Please provide information:
Have any members of your household ever been charged with animal abuse, domestic abuse, or other violent crime?
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What knowledge or experience do you have about the pet/breed you are wishing to adopt?
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What activities do you wish to do with a new pet?
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Do you have experience introducing a new pet into your home and other pets? If yes, please describe:
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How much do you anticipate the cost of care will be annually for this pet?
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Do you have the financial means to meet the needs of this pet?
Where will the pet be kept during the day?
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Where will the pet be kept during the night?
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List all pets currently living in your household, including Species (i.e. cat, dog, hamster, etc.), Breed (i.e. Orange Tabby, Chihuahua), Sex (male/female), if they are Spayed/Neutered, Age, and whether they live Indoors or Outdoors.
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List pets that you have previously owned. For each please including Species, Breed, How long you owned them, where you got each pet from, and what happened to the pet.
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Who is your veterinarian?
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Vet's Phone Number:
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Optional: Please list any other references you may have for pet care: (i.e. groomer, daycare/boarding, etc.)
Is there any other information you would like for us to know in considering your home for this pet?
Terms of Service: I certify that all the above information is true. I also understand that giving false information on this questionnaire is grounds for denial. This questionnaire remains the property of The Rescue Faerie..
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Signature:
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Date:
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MM
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