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Cape May County Animal Shelter & Adoption Center Application for Adoption Name: Address: Apt Cat/Dog Name: City: State: Zip: Animal I.D. # Home Phone: Fee: Work/Cell Phone: Attendant: Approved: Denied: PLEASE FILL OUT THE FOLLOWING QUESTIONAIRE 1. What kind of pet are you here to adopt? Dog Puppy Cat Kitten Other 2. Why do you want a pet? 3. Do you have any preferences as to breed type, sex, age, size, length of hair, etc.? Yes No If yes, what are your preferences? 4. Is this your first experience with a pet? Yes No 5. What pets do you currently have in your household? Type Spayed/Neutered Kept Where? Age NAME DOG CAT Yes No IN OUT Type Spayed/Neutered Kept Where? Age NAME DOG CAT Yes No IN OUT Type Spayed/Neutered Kept Where? Age NAME DOG CAT Yes No IN OUT 6. List pets owned in the past five years other that those listed above. Type Spayed/Neutered Kept Where? Time Owned What Happened To This Pet? DOG CAT Yes No IN OUT DOG CAT Yes No IN OUT DOG CAT Yes No IN OUT DOG CAT Yes No IN OUT 7. If you answered NO to 5 & 6 – Could we visit your home? Yes No 8. Who is your veterinarian? Phone 9. May we have permission to contact your veterinarian? Yes No 10. Do you Own Rent your property? ---PAGE BREAK--- 11. Do you currently live in a House Apartment Condo Mobile Home Duplex? 12. If you rent, does your lease allow pets? Yes No 13. If you rent, what is your landlord’s Name? Phone# 14. How long have you lived at the above address? 15. How many people live in your household? Adults? Ages Children?____ Ages 16. If you live alone, who would care for this pet in the event of illness? 17. Do you or does anyone living in your household have any known allergies to animals? Yes No If Yes, to what kind(s) of animals and how server is the allergy? 18. Who will be responsible for the care of this pet? 19. Where will this pet be kept during the DAY? NIGHT ? 20. How many hours per day will it spend alone without human companionship? 21. Where will it be kept when alone? 22. How did you hear about our adoption service? DOG ADOPTIONS ONLY: 23. Do you want the dog for (check all that apply) House Pet Guard Dog Watch Dog Companion Gift Company for other pet Other 24. Are you familiar with this breed? Yes No If YES, 25. Do you have a fenced yard? Yes No If YES, how high? 26. Do you realize you will probably have to housetrain your new puppy or dog? Yes No 27. Would you like information on how to housetrain a new puppy or dog? Yes No 28. Are you familiar with the leash and licensing law in your community? Yes No 29. What will you do if your dog chews furniture or shows other destructive behavior? 30. Are you familiar with crating? Yes No If YES, what are your feelings about it? 31. Do you plan on taking your dog to obedience training classes? Yes No 32. Are you familiar with heartworm disease? Yes No 33. How will you keep your dog confined to your property? (Check all that apply) In House Kennel Fenced Yard On Chain Garage Patio On Leash CAT ADOPTIONS ONLY: 34. Do you want the cat for (check all that apply) House Pet Mouser Companion Gift Company for other pet Other 35. Will this cat be allowed outdoors? Yes No If YES, under what circumstances? 36. Do you plan on having your cat declawed? Yes No 37. What will you do if your cat claws the furniture or shows other destructive behavior? REVISED January 2011