Please read the contract carefully before filling out the application.

Name
E-mail

Adoption Application for Pet Adoption
Pet's Name

Type of Pet Wanted	Dog Puppy Cat Kitten Other:
Please answer each question in full:
Your Name
Your Address
City
State	Animals are placed only within driving distance of Los Angeles
Zip
Phone
Email Address

Why do you want to adopt this animal?	Pet Gift Hunting Dog Companion Watch Dog Other:

You live in a(n)	Apartment House Duplex Dorm Mobile Home Other:

Is your yard fenced?	Yes No
	If Yes… How high is the fence? ft.
What material is the fence?

Do you rent?	Yes No
	If Yes… Who are your landlords? Name Address City State Zip Phone

Are you a student?	Yes No
	If Yes… Which school do you attend? Will your pet attend school with you? Yes No

Who will take care of the pet when you are away for several days, such as a vacation?

Do you have children?	Yes No
	If Yes… What are their ages?

Do you have pets now?	Yes No
	If Yes… How many? What kinds of pets are they?

Have you had pets in the past?	Yes No
	If Yes… What happened to them?

Have you adopted from a rescue organization in the past?	Yes No
	If Yes… What were the circumstances?

Where will the pet sleep?	House Doghouse Garage Porch Other:
Please provide the information on the nearest relative not living with you:
Name
Address
City
State
Zip
Phone
Please provide the information on your veterinarian:
Name
Address
City
State
Zip
Phone

Can you afford annual and emergency treatment for this animal?	Yes No

Are you willing to pay the requested donation for this animal?	Yes No

Your home will be visited by a follow-up team at least once. All conditions of the adoption agreement must be agreed to according to the adoption contract. Failure to comply with the adoption contract could result in the reclaiming of the animal(s) by the City of Angels Dog Rescue.

After submitting this form, you will be contacted to sign this form in the presence of a witness.

Thank you for saving an animal in need!

City of Angels Dog Rescue