What is the name of the animal you wish to adopt?
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Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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(###)
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Email
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Character Reference (name and phone number)
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Why do you wish to adopt this animal?
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Does everyone in the family favor adopting this animal?
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Please list the ages of all the children in the home.
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Are you prepared to provide additional vaccinations for this animal as needed?
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Are you prepared for additional expenses for the animal, including a license, if applicable, equipment, supplies, heartworm preventative, flea treatment, annual vaccinations, unexpected accidents or illnesses, and as recommended by a veterinarian of your choice?
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Are you prepared for provide for this animal its whole life which may exceed twenty years?
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Are you aware that TLC Humane Society cannot guarantee how large an animal will be at maturity?
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Are you aware that TLC Humane Society cannot guarantee the animals health, event at the time of adoption?
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For cats and kittens: will you allow the cat to keeps its claws?
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Please answer the following for each one of you current pets. What type of animal, their age, housed indoor or outdoor, time in your care, are they spayed or neutered, are they up to date on vaccinations?
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Do you animals go to the vet yearly for vaccinations and as needed?
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Name and phone number of your chosen veterinarian:
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Do you understand that TLC Humane Society recommends that you take this animal to your chosen veterinarian as soon as possible in order to establish a relationship between the animal and veterinarian, and to determine any further tests or vaccines which the veterinarian may recommend.
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Please answer the following for any pets you've had in the past five years that are no longer living with you. What type of animal, their age, housed indoor or outdoor, time in your care, reason they are no longer with you.
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Have you ever given up a pet before?
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If you have given up a pet before please explain.
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Do you live in a house, apartment, townhome, other?
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Do you rent?
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Please provide you landlord's name and phone number.
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For dogs and puppies: is there an enclosed area available?
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Does the animal you have chosen comply with all regulations now and will it comply as it matures?
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Where will this animal be kept?
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If you selected outside or both, what type of shelter will be provided for this animal?
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Where will the animal be kept during the day while at work/school?
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Where will the animal be kept at night?
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What provisions will you make for this animal while you are on vacation?
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If you move, what will you do with your pet?
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Do you realize that this pet will need time to adjust to its new home?
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What will you do if your new pet does not get along with your present companion animals?
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Please Review: Adoption Contract Agreement
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Check off that you agree to each of the following:
By entering your name below, you are agreeing that you have read and understand the above and agree to the terms set forth. You acknowledge that a copy of this contract will be kept on file by TLC Humane Society. You also understand that this contract is solely between TLC Humane Society and yourself. No other entity is involved. In signing this, you agree that TLC Humane Society has NO FURTHER RESPONSIBILITY NOR LIABILITY for this pet. It is the sole responsibility of the Adopter to provide all the pet’s needs and ensure the pet is healthy.
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