ARK ARK Adoption Form

A.R.K. Application For Adoption

Date:

Adoption No.:

Name:

Address:

Telephone: (home)

Telephone: (work/mobile/fax etc.)

Dog? Cat?

Sex:

Male Female Either

 

Breed:

Size Preferred:

Small Medium Large Any

Age Preferred:

Puppy/Kitten Adult Older Adult

Either

   
Do you have a pet now?

Yes No

Have you had a pet before?

Yes No

Will your pet spend most of it's time

Indoors Outside

If Indoors:

What will you do when you are away from your home for extended periods of time?

If housebreaking fails, or if other circumstances should occur, do you have a fenced yard?

 If Outdoors:

Do you have a secure fence?

Do you have a doghouse or another type of shelter?

Contract For Adoption

 

Your dog/cat has been examined by a veterinarian. Medical Records will be provided to you.

Your dog/cat has not been examined by a veterinarian. We do recommend that your pet be examined within 72 hours if possible.

 

Under the State Sterilization Act, all pets adopted from a shelter must be spayed/ neutered. It is a Class C Misdemeanor if sterilization is not performed.

 

I agree to have

(dog/cat)

spay/neutered by

(date) (Within 30 days if animal is over 6 months of age. Within 60 days if animal is under 6 months of age.)

 

Description of animal: (puppy/dog/kitten/cat)

Approximate age:

Breed/Color/Sex:

 

I agree that I will not give my pet away. If I am unable to keep my pet, I will notify ARK.

 

 

Donation Amount: Check No: Date:

 

Signature: ARK Representative:

 

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