Name of desired pet: Pet Species (ie Cat, Dog) GUARDIAN ANGEL PET ADOPTION FORM Please fill out this form completely; failure to answer one or more questions may result in your application being rejected. Completion of this application does not guarantee adoption of a pet. Personal Information Your Name: Occupation: Spouse’s Name: Occupation: Home Address: Phone: Email: Name/ Ages of Children, if any: Any other occupants in home: Type of dwelling: HouseCondoApt.Other Do you Rent or Own? RentOwn If renting, do you have your landlord’s permission to have a pet? YesNo Are you aware of the pet deposit and monthly fees required (if applicable)? YesNo Landlord’s name: Landlord’s phone number: How long have you lived at your current address? Years Months What are your primary reasons for wanting a pet? Companion for youFor your kidsGiftFor other petWatchdog Other If you have children, please describe their previous experience with dogs/cats: Does anyone in your household have allergies? YesNo If yes, describe What is your family’s lifestyle like? Active and on the go Quiet and relaxedEntertain frequentlyLots of kids in and outTravel frequently Current Pet(s) Do you have a pet now? YesNo How Many? Type of Pets (if dog, list breed) Ages Sex Other Pets? Are your pet/s spayed/neutered? YesNo Have you ever allowed an animal to breed? YesNo Planned Pet Care Is there anybody home during the day? YesNo Who? When will the pet be inside? DayNight FOR CATS: Will you allow the cat access to the outside? YesNo Will you declaw the cat if scratching was a major issue? YesNo How often will you exercise/spend time playing with your cat? FOR DOGS: Where will the dog sleep at night? InsideOutsideCratePet BedDog HouseGarage What room will the dog sleep?Living RoomKitchenBedroomRun of the houseOther: Will you walk the dog multiple times daily in spite of weather conditions? YesNo When on leash do you normally use: Collar onlyCorrective collarHarnessOther: How would you train this dog? Obedience classHit with newspaperFirm verbal commandsClicker / Hand signalsOther, Explain About how many hours will your pet be left alone? hours Where will the pet stay when he/she is home alone? (I.e. run of the house, a specific room, a crate, etc.) If inside, where exactly? KitchenMaster bedroomRun of the houseOther: Are there rooms that are off limits to the pet? YesNo What outside areas are available to the pet? Fenced yardEnclosed PatioGarageDog HouseUnfenced common areaOtherNone Do you have a doggie door? YesNo Type of fencing? (Chain link, wood, block wall, etc.) Height of Fence? Highest Point Lowest Point I have recently inspected my fence and any gates and they are in good condition. YesNo The fence is intact on all sides and is at least 6 feet from the ground level in all areas. YesNo I promise to inspect my fences thoroughly before the home visit and make necessary repairs for the safety and well being of our new Pet. YesNo Are there gates? YesNo How many gates? How High(ft)? Is there any type of lock on the gate(s)? YesNo Type of lock (padlock, key, latch, etc.) If no locks, would you be willing to install them prior to placement should this application be accepted? YesNo Who has access to your yard? GardnerPool manUtilityNeighbor Other, please explain Preferred level of exercise with pet: Couch potatoShort walksVigorous walksHike or jog regularly When you go on vacation, who will care for the pet? (Friend, kennel, dog sitter, etc.) What kind of food will you feed your pet? Brand of KibbleCannedOther Veterinary Information Do you have a regular vet? YesNo Name of Vet Practice Name: Address of Vet: Phone number of Vet: Would you like a referral to a vet? YesNo Who will groom and bathe your dog? Would your dog wear a collar? YesNo Would you allow your dog to wear an I.D. Tag? YesNo Will you microchip your dog? YesNo Pet Experience How would you rate your level of pet owning experience? First time ownerBeginnerIntermediateAdvanced How would you discipline your pet if he or she misbehaved? How do you normally walk your dog? On leashOff leash Are you willing to live with hair on the furniture, stains on your rugs, a warm body on your bed, and an animal that might be destructive at times?YesNo Pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, shelter, and exercise for your new pet? YesNo Are you able to make a long-term commitment to care for your pet for its entire life span, which could be as much as 10 to 20 years? YesNo What would happen to your pets if you moved? Locally? Out of State? Out of the Country? Which of the following reasons might prompt you to give up your pet? (Check all that apply): Excessive barking/meowing BitingDiggingMovingDivorcePoor watchdogDestructive chewing/scratchingFinancial ProblemsOccasional accidents indoorsSheddingAllergiesGrowling/hissing at guestsExcessive vet billsAggressive on leashNew Spouse/ partner doesn’t like petNone of the above Comments: Please list pets you have owned since you have been an adult and the length of ownership; if they are no longer with you, please provide an explanation: Adoption Information How did you find out about our adoption program? Why are you interested in adopting from a rescue? Are you interested in volunteering for any of our future events? YesNo Agreements for Adoption (Please read and consent to each statement below) I understand that a home visit may be required prior to final placement.* I consent to the conditions. I understand that a home visit does not guarantee placement.* I consent to the conditions. I agree to provide my own collar, leash, harness, or cat carrier at the time of completing the adoption contract.* I consent to the conditions. For Cats*: I will keep my cat on a regular routine of internal worm preventative I will provide flea/tick control as needed I will take my cat to the veterinarian for regular wellness visits, tests or other examinations my vet makes as necessary for the health and well-being of my cat. I will keep all vaccinations current I understand that a snap test is not provided unless adopter requests and pays for this test My cat will be indoors only and an important member of the family I consent to the conditions. For Dogs*: I will keep my dog on a regular routine for heartworm preventative I will provide flea/tick control as needed I will take my cat to the veterinarian for regular wellness visits, tests or other examinations my vet makes as necessary for the health and well-being of my cat. I will keep all vaccinations current I will obtain the proper licensing (per city regulations) for my dog I will not chain or tie up my dog and leave it outside alone. My dog will be in indoor dog and an important member of my family. I consent to the conditions. I understand that if, for any reason, I am unable or unwilling to keep this pet, I agree to work with Guardian Angel Pet Fostering to place my pet in a good home. I will not give this pet away, take it to a shelter, place him/her with another person or family member, or sell this dog to any other person without the express permission of Guardian Angel Pet Fostering.* I consent to the conditions. I am financially able to provide routine and emergency care for this dog for his/her lifetime. This includes but is not limited to food, boarding (if necessary), regular vet care, heartworm preventative, internal worm preventative, flea/tick preventative.* I consent to the conditions. I will not hold Guardian Angel Pet Fostering which I am adopting this pet from, liable for any veterinarian bills or financial issues that may result from this pet’s behavior or health.* I consent to the conditions. I give permission for Guardian Angel Pet Fostering to use my adoption photo for promotional/educational purposes.* I consent to the conditions. Guardian Angel Pet Fostering reserves the right to refuse adoption to any applicant for any reason. The Adoption Questionnaire becomes part of our contract. Failure to abide by the terms of the agreement for pet adoption will be grounds for the removal, confiscation or retrieval of the pet by Guardian Angel Pet Fostering to ensure the health and well-being of the pet. Adopter Signature: Name: Guardian Angel Pet Fostering 217 Loretta Way Calimesa, CA 92320 (909) 838-5546/guardianangelpet@gmail.com