spacer ADOPTION REQUEST

Please fill out this form
(it will open your email program and send your answers to us via email)



Name:

Age:

Email:

City where you live:

What type of work do you do?:




Name of the animal in which you are interested:


Do you rent or own your own home?

If you rent:
Do you have the landlord's permission to have a pet?

Is there a deposit and if so how much is it?

Do you have a fenced yard?

If you do not have a fenced yard will you walk the dog daily?

Number People in your family:

Who will be responsible for the dog?

How many hours daily will dog be alone?

What would cause you to give up your dog?

Can you afford to properly take care of a dog?

Are you prepared to make a lifetime committment to the dog you adopt?



Can you provide a current or previous vet reference (yes/no) ? (name, address and phone number):

Will you give permission to your vet to provide medical records to
Recycled Love Animal Rescue for any current or previous pets?



List pets already in your family



Any additional comments you'd like to send?

Thank you for your interest in our adoptable animals. We will contact you
as soon as possible and thank you for your patience if it is a busy
day and we cannot get back to you immediately.



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