Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code County(Required) Cell Phone(Required)Home PhoneEmail(Required) Alternate Email Names (please list full names for all persons with whom the animal would be living):(Required)For which animal are you applying?(Required) If you are not applying for a specific animal, please describe what type of animal you are hoping to adopt.If you are interested in learning about more than one animal, please provide the names of the additional animals in which you are interested. Occupation (please list the occupations of all persons with whom the pet will be living):(Required)Do you have any children? If yes, what are their ages?(Required)Do you own or rent?(Required) Own Rent If you rent, what is your landlord's name and telephone number? Do you have a fenced property? If yes, please tell us the type of fence and how high it is.(Required)Do you live within city/town limits?(Required)Did you check for any zoning restrictions? If so, are there any related to this species?(Required)Are you planning on moving within the next 12 months?(Required) Yes No How large is your property?(Required) Less than 1 acre Between 1 and 3 acres Greater than 3 acres What animals do you currently have in your household? For each, please provide: species (dog, horse, goat, chicken, etc.), breed, age, whether the animal is altered, and whether it is an indoor pet, outdoor pet, or both.(Required)Please provide your veterinarian's name, hospital, city, and phone number:(Required)Is the whole family in agreement with adopting a rescue pet? If not, who isn't and what are their reasons?(Required)For what reason are you wishing to adopt this pet? Please check all that apply(Required) Companion Farm pet Herd increase Breeding Companion for another animal Raise for food For milk Other If other please explain(Required)What will you do if the pet you adopts displays any of the following behaviors? Head butting? Climbing? Escaping? Biting?(Required)How will your animals be confined to your property (please include all that apply)? Fence type, size, enclosure type/size?(Required)What experience do you have with the particular species of animal in which you are interested?(Required)Where will your pet be kept during the day? And sleep at night?(Required)If you went to the vet and your animal required a surgery that was $5000.00, what would you do?(Required)What behaviors would be unacceptable to you? What actions would you take to correct those behaviors, if any?(Required)If you and your spouse/significant other break up or move away from each other, who will care for the animal?(Required)Excluding your death, what conditions or circumstances would cause you to give up the animal?(Required)Please list all of your pets, including farm animals, in the past, stating for each: male/female, whether spayed or neutered, length of ownership, if you still have the animal; if you no longer have the animal, the reason why (i.e., died, lost, stolen, surrendered, gave away, etc.)(Required)Do you have means of transportation for this animal or would you need OutPaws’ to bring her/them home?(Required)What are you plans for introducing the animal to your home and acclimating the animal to your property?(Required)
