Hsadoptionapplication2016

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P. O. Box 451205 Grove, OK 74345-1205 (918) 786-7630 www.doitforthepets.com hsgrove@att.net The animals sheltered at Second Chance Pet Rescue of Grand Lake are the result of former owners being: • Financially incapable of providing for their pet’s nutritional and medical needs • Negligent / irresponsible in supplying their pet with food, shelter, and veterinary care • Cruel and abusive to their pet • Incompatible with the pet they chose to adopt The Canine/Feline Adoption Application is a carefully developed instrument for determining the suitability and compatibility between the animal you have chosen and your family. The questions are extensive but are not intended to be intrusive or insulting.

The goal of Second Chance Pet Rescue of Grand Lake is to place formerly neglected, abandoned, and abused dogs and cats into homes in which the owners will provide their pets with safe refuge, adequate nutrition, consistent veterinary care, and abundant love and respect. The information you provide will facilitate the endeavor to place homeless animals into their forever homes; where they can thrive and become a treasured member of your family.

Second Chance Pet Rescue of Grand Lake reserves the right to decline the adoption of any animal. We also reserve the right to request a home check and inspection before approval of any adoption.

Adoption Prerequisites:  Be at least 18 years of age  Have a valid government issued photo ID  If renting, have landlord’s consent  Have consent of all adults living in your household Who are you interested in adopting? ______________________________________________________________________ Why do you want to adopt this particular pet? ______________________________________________________________ How many animals do you currently have in your household? ________________________________________________ Please specify: Cat or Dog Name: ____________________________________Breed: ______________________________________ Spayed/Neutered: Yes No Age: ________________________________ Cat or Dog Name: ____________________________________Breed: ______________________________________ Spayed/Neutered: Yes No Age: ________________________________ Cat or Dog Name: ____________________________________ Breed: ______________________________________ Spayed/Neutered: Yes No Age: ________________________________ Cat or Dog Name: ____________________________________ Breed: ______________________________________ Spayed/Neutered: Yes No Age: ________________________________ Have you previously adopted an animal from Second Chance? Yes No If yes, what? ____________________________________________________________________________________________ Where is the pet now?____________________________________________________________________________________

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Have you previously surrendered an animal to Second Chance? Yes No If yes, why? ____________________________________________________________________________________________ Number of adults in your household: ______________________________________________________________________ Number of children in your household: ________________________ Ages: ______________________________________ Does anyone in your home have animal allergies? Yes No If yes, how do you plan to manage the condition? __________________________________________________________ Do you OWN your home? Yes No Is your dwelling a: House Condo/Townhouse Mobile Home Apartment Farm Are you planning to move within the next six months? Yes No If yes, what will you do with your new pet? __________________________________________________________________ Will the pet be kept: Indoors Outdoors Both How will you keep the pet confined to your property? ________________________________________________________ Are you familiar with the animal ordinances in your community? Yes No Can you afford: Pet food, adequate shelter, monthly flea/tic and heartworm preventatives, annual vaccinations, veterinary care, and other incidental costs for grooming, boarding, and emergency services throughout the lifetime of the pet? Yes No Who is your local veterinarian? (We may call for a reference) ______________________________________________________________________________________________________ All pets making the transition from the shelter into a new home need time to adjust to a new family and may require housetraining and behavior modification.

Are you willing to provide the necessary training? Yes No What behavior or conduct would you be unwilling to tolerate until the animal is trained? ______________________________________________________________________________________________________

Adopter’s Name:

__________________________________________Date: ______________________________________

Address: ______________________________________________________________________________________________ City / State / Zip Code: __________________________________________________________________________________ Home Phone: ________________________________________Work Phone: ______________________________________ Cell Phone: Email: ______________________________________________________________________________________ By signing the Canine/Feline Adoption Application, I certify the answers given on this application are true and correct. I understand that false, misleading, or incorrect responses could lead to the forced surrender of the adopted animal to Second Chance Pet Rescue of Grand Lake.

Signed ____________________________________________________ Date: ______________________________________

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P. O. Box 451205 Grove, OK 74345-1205 (918) 786-7630 www.doitforthepets.com hsgrove@att.net Veterinary Check-Up: The majority of shelter animals have unknown medical histories. A quarantine period is recommended if you have other pets at your home. A check-up at your veterinarian is advised. Although animals in the shelter are treated for intestinal parasites, it is not guaranteed that they don’t have intestinal parasites.

30 Day Return Policy: You may return your pet for any reason within 30 days from the date of adoption and elect to receive an Adoption Credit Voucher. The voucher may be redeemed toward the adoption of another animal of your choice. The voucher is valid for 90 days from issuance.

Please note: Adoption fees are not refundable Upon redemption of the Animal Credit Voucher, if you select a pet with a: 1. Lesser adoption fee, the difference will not be refundable 2. Greater adoption fee, you will be expected to pay the difference Provision for the Care and Well Being of Your Pet: You are expected to provide your pet with safe refuge, sufficient shelter from the elements, adequate nutrition, and consistent veterinary care.

Spay/Neuter Requirement: Animals adopted from the Second Chance Pet Rescue of Grand Lakeare to be spayed or neutered as soon as they are mature enough for the surgery. This policy is a mandate and no exceptions will be considered. If you, as the pet owner, refuse or fail to alter your animal, you will be required to surrender your animal to Humane Society of Grove and Grand Lake. Your spay/neuter deposit will be forfeited.

Statement of Understanding and Agreement: By signing the Pet Ownership Contract, I certify that I have read, understand, and agree to its terms. I understand that failure to abide by this contract may result in the forced surrender of my animal to Second Chance Pet Rescue of Grand Lake.

Signature: ________________________________________________ Date: ______________________________________

Adoptee’s Name: ________________________________________________________________________________________ Adoptee’s ID Number: __________________________________________________________________________________ Adoption Fee: $

________________________________________________

Paid By: Cash Check Credit/Debit Card