Adoption Application Cat/Dog

Email: adopt@glrescue.org

Address: 74 Francios Drive Herculaneum, MO 63048

Date *

Email *

Phone # *

First/Last name *

Name of Animal to Adopt: *

Address *

City, State Zip Code *

Your Birthday *

Do You Own or Rent? *

Landlord's Name and Phone Number

Do you have any children/grand children in the home? *

If Yes What Are The Ages?

Do you currently own any pets? *

Have you owned any pets in the last (5) years? *

Are your pets spayed/neutered? *

Do you declaw your cats?

Breed and Age of Your Pets *

Do you have a veterinarian? *

Do you understand the history of this animal? *

How much time days/hours will the animal be alone? *

Are you prepared to spend between $150 to $350 per year in veteriary costs for routine shots and preventative maintenance? *

If medical issues arise, what steps would you take to help knowing it could be expensive *

In the event of a life change (work schedule, a move, a divorce, a new baby ect.) what are your plans to care for the animal? *

Do you understand that adopting a pet is a commitment for the animal's entire lifetime?

Personal Reference #1 *

Personal Reference #2 *

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