Fillable Form 1882 Pet Adoption Application (City of Fayetteville)

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Form 1882 Pet Adoption Application (City of Fayetteville)

On average this form takes 19 minutes to complete

The Form 1882 Pet Adoption Application (City of Fayetteville) form is 2 pages long and contains:

  • 1 signature
  • 6 check-boxes
  • 70 other fields

Country of origin: US
File type: PDF

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Please continue to page 2 of the application
ID #:
Date:
Zip:
Where will you keep your pet during the day:
Cat Dog Other Age Sex
Are all pets current on rabies vaccinations by a licensed veterinarian?
What veterinary clinic do you use for vaccinations?
Who is listed at the vet's office as the pet owner?
How did you hear about our adoption program?
Do others in your household know you are planning to adopt a pet?
Is anyone in the home allergic to animals?
On average, how much time will the animal be left alone each day without human or pet interaction?
Which of the following best describes your home?
Mobile Home/Condo/Apt - no fence
House with unfenced yard
Farm with livestock
Mobile Home/Condo/Apt - with fenced yard
House with outside kennel run
House with fenced yard
specify type of fence
Driver's License Number/State:
We do not adopt to anyone under the age of 21 years.
Fayetteville Animal Services
Animal Name:
Pet Adoption Application
Our goal is to find permanent, loving homes for companion animals. To help make a forever-match between you and your prospective pet,
we evaluate animals to determine if they will be suitable family pets. In selecting a pet, please keep in mind that all animals - like people -
have different personalities and that some behaviors can be breed-related.
Home/Cell Phone:
Work/Other Phone:
Name:
Address:
Do you own or rent?
Landlord's Name:
Landlord's Phone Number:
How many children are in the home?
What are their ages?
Is this pet going to be a gift?
If yes, for whom?
At Night:
Please tell us about the pets you have owned in the past three years.
Pet's Name
Spayed/
Neutered?
Still Have?/Comments
The following questions must be answered. If you have questions, please ask a staff member.
●
●
●
●
●
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Date:
24-hour Waiting Period
Adjustment/Isolation Period
House Training
Rabies Vaccination
Date:
Date:
Checklist for Staff/Adoption Counselors to Discuss
Any pet adopted from Fayetteville Animal Services may require special training for behavioral problems and I understand that it will
be my responsibility to try to resolve these issues before returning the pet to Fayetteville Animal Services.
The adoption fee is non-refundable.
Signature:
By signing below, I certify that all information provided will be found to be true and that any misrepresentation of facts, on my behalf, may
result in denial of adoption. I understand that:
Although Fayetteville Animal Services has provided initial vaccinations and spay/neuter surgery, all pets should see a veterinarian in
the first few weeks after adoption.
Filling out this application does not guarantee me a pet. Placement of animals is at the discretion of Fayetteville Animal Services.
Pets up for adoption are the sole property of Fayetteville Animal Services.
A representative of Fayetteville Animal Services may contact me in the future to follow up on the success of this adoption.
I am authorizing investigation of all statements I have provided on this application.
If yes, what are they?
Continued from previous page. The following questions must
be answered.
Why do you want to adopt at this time?
Do you want an indoor or outdoor pet?
Do you understand and will you comply with the City of Fayetteville's leash law?
Are there any behavioral issues that may cause you to return the pet to the Shelter?
Annual Vaccinations
Spay/Neuter Info
Illness after Adoption
Exercise and Grooming
Yearly Licensing
Precautions w/Children
Parvo Info for Puppies
Lifetime Commitment
Adoption Counselor:
When adopter can pick up:
For Office Use Only
System Checked
Landlord Checked
Veterinarian Checked
Approval of Adoption Application:
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Form 1882 Pet Adoption Application (City of Fayetteville)

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Completed 18 July 2020

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