Adoption Form I want to adopt a pet Please fill the form below and send it to us. We’ll get in contact with you as soon as possible.Also, you can download and print the Pet Adoption Agreement here.Your OPR-Team. Animal's Name: Name: Cell Phone Address E-mail Address Employer Employer Phone Type of residence Single Family House Duplex Town Home Apartment Mobile Home Do you own or rent? Own Rent Landlord’s name: Landlord’s phone: Type of companion animal you are seeking: Puppy Adult Dog Kitten Adult Cat Rabbit Other If Other, please specify Number of People in household Total: Number of Adults Number of Children Age of Children Why are you interested in adopting? How long have you been considering adopting an animal? Is this your first pet? Yes No If no, please list previous pets and duration you cared for the pet: Do you currently have other pets Yes No If yes, please list current pets and how long you have had them: How do you plan to introduce the new pets to the household? How will you handle the following potential situations? Family allergy to pet Pet medical expenses:(emergencies or diagnosed medical condition) Moving: Are you prepared to spend several weeks or, perhaps months, waiting for your new pet to adjust to a new environment Yes No Please provide your current Veterinarian information Name: Address: Phone Fax What annual vaccines does your current pet or will your future pet receive Will your newly intended pet be an indoor or outdoor pet Indoor Outdoor What is the longest duration you will leave your pet unattended outside Does your residence have any of the following (check all that apply:) Yard Fence Dog Run Dog Door Please specify type and height of fence: Where will your pet be kept: At night Day time How many hours a day do you spend at home What brand/type of food do you plan on feeding your new pet Do you plan on having your new pet enrolled in obedience training, if so, where Who will be the primary care giver for the newly adopted animal Does anyone in the household have any known animal allergies, please specify How did you hear about Operation Pet Rescue Have you ever turned an animal into a shelter, if yes, please explain Which of the following behaviors would present a problem for you or your family and explain how you would handle each situation: Jumping on furniture/ counter tops/ tables: Your reaction Scratching/ biting/ ripping furniture: Your reaction Chewing on plants/ garbage/ other: Your Reaction Barking: Your Reaction Play biting: Your reaction How will you correct your pet if it does the following: Urinates/ defecates inside the house Keeps you awake at night Sheds Excessively Ruins an expensive article I certify that the information I have provided is accurate and honest. Signature Date Send Application