Pet Adoption Application
Species
*
Please Select
Dog
Cat
Bunny
Pet's Name
*
Applicant Information
Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
Date Picker Icon
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Occupation
*
Why do you want to adopt this pet?
Household/Residence Information
Age of all adults living at residence
Type the age separated by a comma
Age of all minors living at residence
Type the age separated by a comma
Age of all minors visiting the residence
Type the age separated by a comma
Own/Rent?:
*
Please Select
Own
Rent
Live with Family Who Owns Home
Type of Residence
*
Please Select
Single Family
Duplex
Multi-Family
Apartment
Condominium
Do you have Permission from your landlord to own a pet?
*
Yes
No
Landlords Name
*
First Name
Last Name
Landlords Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
**A written statement of approval signed by your landlord will be required**
Animal Care Information
Have you owned a pet before?
*
Yes
No
What happened to them?
Do you own any pets now?
*
Yes
No
List names / breeds / species and of other pets
Are current pets spayed/neutered?
Yes
No
N/A
Are current dogs licensed?
Yes
No
N/A
How do you feel about spaying and neutering?
How do you feel about declawing?
How many hours will the pet be left alone during the day?
Where will this pet be kept during the day?
Where will this pet be kept during the night?
If you will be keeping the pet outdoors, how many hours will it be left out?
Will the bunny be exercised and if yes, how long and where?
How will this dog be kept under control and safe when left outside?
Fenced Yard
Cable Run
Walked/Leashed
Kennel
Other
What experience do you have with formal obedience training of dogs?
What is the name of the school you signed up with?
What would you feed the pet, what brand?
Veterinarian Clinic
Veterinarian's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
City
Please read and respond below:
I certify that the information I have provided is true and understand that any false information may nullify the adoption. I agree to a pre/post home inspection by a Mansfield Animal Control Officer and give permission to release my veterinarian information to you. Mansfield Animal Control reserves the right to refuse any adoption.
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