Animal Friends of Barbour County
Adoption Application
Applicant Name
Date
Street Address
City
State
Zipcode
Home Phone
Work Phone
Cell Phone
E-Mail Address
Why do you want to adopt a pet?
What do you consider the most important responsibilities in owning a pet?
For whom are you adopting this pet?
If other than yourself or your family, is the person you plan to give this pet to aware of your decision to give this pet to them?
If disciplinary or behavioral problems arise with your new pet, what steps will you take to resolve them?
Do you or any members of your family have any allergies to animals?
If yes, please explain.
Do other pets currently live in your home?
If yes, please list what kind and how many.
If you currently have a pet(s), are vaccinations up-to-date?
Do you have current licenses for dogs that you now own?
Have you previously owned pets?
If yes, please list what kind and how many?
Do you usually have your pets spayed or neutered?
Please give us a veterinary reference.
Vet Name?
Phone Number
Are there children in your household?
If yes, please list their ages.
Do you own or rent your residence?
If you rent your home, have you already obtained your landlord's permission to have a pet in your home?
Do you have a fenced yard?
Where will this pet be kept?
I understand and agree that a pet adopted from Animal Friends must be spayed/neutered?
I have read the above information carefully and have filled out this application honestly.  I understand that omission of information and/or failure to answer all the questions can result in the application being declined.  Also, if an omission or untruth is discovered after the adoption takes place, I understand that Animal Friends of Barbour County reserves the right to annul the adoption and reclaim the animal.  I give Animal Friends of Barbour County permission to fully investigate the information I have provided, as well as contact the veterinarian I listed.  If this application passes review, I would agree to a home and yard visit on a mutually agreed upon date by a representative of Animal Friends of Barbour County, if requested.
Thank you for taking the time to complete this application for adoption.  We appreciate your interest in adopting a shelter pet and will contact you as soon as possible after we receive this completed application.
You may use the textbox below, if you have any questions, need to request more information, or have additional comments.  Please be brief.
Myself
My Family
Relative/Friend
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Own
Rent
Yes
No
Yes
No
Primarily Indoors
Primarily Outdoors
Yes
No
I agree with the above statements and conditions
I disagree with the above statements and conditions