Dog Adoption Application

Full name *

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Home phone *

Please enter your home phone number.
Cell phone

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Work phone

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Address *

Please enter your home address.
E-mail *

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Which animal(s) are you interested in adopting?

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Is this your first time adopting an animal as an adult?

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If not, what happened to your other animals?

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Please indicate your housing status

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If you are renting, please provide your landlor's name and phone number.

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Who will care for your pets if you are not at home or are on vacation?

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Does anyone in your household have pet allergies?

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Please list the ages of all the adults in your household.

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Do you have children in your household?

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If yes, please their ages

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Please list the animals currently in your household, including the name, species, sex, age, and whether they are spayed or neutered.

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Where do you plan to keep your new dog during the day?

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Where do you plan to keep your new dog during the night?

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Do you have a fenced yard? If so, please describe the height and slats of your fence.

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How many hours a day will your new dog be alone?

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Your veterinarian's name

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Your veterinarian's phone number

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Are you aware of the financial responsibilities for caring for a new animal, including vaccinations, annual veterinarian visits, and possibly emergency care?

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Are you willing to provide this care to your new pet?

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Please make any additional comments here

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By submitting this form, I certify that the information provided in this application is true. I understand that if I have provided false information, Oasis for Animals may cancel this adoption. Oasis for Animals reserves the right to refuse an adoption. I understand that should an adoption not work out, then I am to return the animal to Oasis for Animals. I will provide reasonable care, protection, and comfort to this animal, including sufficient food, clean water, shelter, and veterinary care.

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