Adoption Application | Marley's World

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Marley's World Adoption Application

PETS ARE NOT PLACED ON A FIRST COME, FIRST SERVED BASIS. Our goal is to match the prospective new family with the appropriate pet. We are here to fill the needs of the animals first. The purpose of our adoption program is to find responsible, lifelong homes for animals suitable for family pets. If you wish to adopt an animal, please complete this application and return to: marleysworld@tutanota.com;

Animal Name

Your Name

Date

Mailing Address

Physical Address

City

State

Zip

Phone (Home)

Work

Email Address

Mobile(Cell)

Occupation

Do you live in a:

House

Apt

Condo

Mobile

Other

If 'Other', please explain

How long at this address

Do you :

Own

Rent

If renting, do you have the Landlord’s permission to adopt this animal?

Yes

Landlord's Name

Telephone #

Will the pet be:

Inside

Outside

When outside, how will the pet be protected?

Fenced in yard

Kennel

Chained

Dog House

Other Shelter

Is anyone in the household allergic to animals

Yes

How will you handle your pet’s exercise needs?

Hours per day pet will be left alone? _

Does everyone in your household know about and agree to the adoption of this pet?

Yes

List all family members and ages.

Do you have any other pets in the household?

Yes

If yes, please list breeds and age

Are all your pets current on their vaccinations ?

Yes

List your veterinarian

Are all your dogs current on heartworm testing and preventative ?

Yes

Telephone Number

Why do you want to adopt this animal?

Is this pet intended as a gift for someone else?

Yes

Are you adopting this pet as a companion for yourself or another pet?

Self

Another Pet

List 2 References, with phone numbers:

Animals require wholesome food, fresh & clean water, shelter, grooming, exercise and regular veterinary care (including vaccinations & sterilization). Are youprepared to fulfill these obligations?

Yes

Please add any additional comments or information that you feel would help us in considering your application.

I swear these answers are true and correct to the best of my knowledge.

I understand that all information will be verified

I have read the Adoption Information Statement and ready to proceed.

Sign Here

Date Here

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