Sierra Pacific Furbabies Adoption Application
Animal you are interested in adopting
Adam (Cat - S2024229)
Alex (Cat - S2016006)
Angus (Cat - S2024004)
Anjali (Cat - S2023130)
Azteca (Cat - S2016001)
Barley (Cat - S2023015)
Blake (Cat - S2024129)
Brandie (Cat - S2018004)
Buck (Dog - D2024006)
Bugatti (Cat - S2022020)
Camille (Dog - D2024011)
Camo (Dog - D2024007)
Caspian (Cat - S2024184)
Cassiopeia (Cat - S2022006)
Catalina (Cat - S2024182)
Cupid (Cat - S2024011)
Danette (Cat - S2024094)
Dolly (Cat - S2024178)
Dorian (Cat - S2020001)
Eloise (Cat - S2024169)
Emmet (Cat - S2024090)
Finnian (Cat - S2024181)
Hunter (Cat - S2016008)
Iris (Dog - D2024010)
Justin (Cat - S2020011)
Kelly Rita (Cat - S202203)
Mackenzie (Cat - S2022007)
Maggie (Cat - S2020005)
Mary Jane/Pearl (Cat - S2023053)
Mason (Cat - S2020007)
Medi (Cat - S2023052)
Mila (Cat - S2024096)
Moscato (Cat - S2024233)
Nebula (Cat - S2023026)
Oswin (Cat - S2024036)
Pebbles (Cat - S2024156)
Samba (Cat - S2024021)
Sandals/Pinky (Cat - S2023054)
Serenity (Cat - S2023058)
Simba (Cat - S2020012)
Simon (Cat - S2016003)
Skinner (Cat - S2020008)
Sparrow (Cat - S2023046)
Sueda (Cat - S2024177)
Tabasco (Cat - S2024158)
Taco Bell (Cat - S2024133)
Tapatio (Cat - S2024160)
Thaddeus (Cat - S2024183)
Tria/Paris (Cat - S2024028)
Trooper (Cat - S2021006)
Unity (Cat - S2023089)
Uno (Cat - S2018001)
Valentina (Cat - S2024159)
Name of Animal interested in if not listed above
Applicant's First Name
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Applicant's Last Name
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Street Address
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City
*
State
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Apartment Number (if applicable)
Zip Code
*
Primary Phone Number
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Please use the following format 248-555-1212
Email Address
*
Please enter correctly as this is the main way we will contact you
Alternate Phone Number
Date of Birth
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Is this pet for you or someone else?
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Myself
Someone else
Do you own other pets at the current time?
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No
Yes
If yes, please list their names, breeds, and ages.
Have you ever turned your dog or cat into a shelter?
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No
Yes
If yes, please explain?
Do you a regular vet you use?
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No
Yes
Veterinarian's Name
If you have never owned a pet please tell us where you would go.
Veterinarian's Phone Number
Why do you want to adopt a pet?
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Do you own or rent your home?
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Own
Rent
Someone else owns the Home
Someone else rents the Home
Please select your current residence type.
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House
Apartment
Condo
Townhouse
Mobile Home
Other
If you answered "other" above, please explain here:
If you rent, does your landlord and lease allow pets?
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Yes
No
Unsure
N/A
First/last name & phone number of lanlord
Does your landlord charge a pet deposit and/or a monthly pet fee?
Yes
No
Unsure
N/A
Including yourself, how many people live in your household?
*
Please list the ages of those who live in your home.
*
Is everyone in your household aware that you are planning to adopt a pet?
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Yes
No
N/A
Does anyone in your household have allergies to dogs/cats?
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Yes
No
Possibly
N/A
Are you financially able to care for this pet?
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No
Yes
Will this pet be predominantly living inside, outside, or both?
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Inside
Outside
Both
If adopting a cat do you plan on declawing?
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Yes
No
Unsure
Are you willing to take responsibility for this animal for the next 10-20 years?
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No
Yes
If no, please explain:
Will you allow us to perform home checks?
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No
Yes
Do you have a legacy plan in place?
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No
Yes
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal.
*
Yes
No
Signature
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Clear
Date
*