Adoption Application For Chelsey

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Adoption Application For Chelsea

First Name*

Last Name *

Email*

Phone

Ext

Work Mobile Home

Address Line 1

Address Line 2

City

State/Province

Postal Code

Country

Home phone*

Work phone*

Date of birth*

Occupation, employer and # of years at job.*

Name of Landlord*

Landlord Contact Info*

Do you own or rent your home?*

What type of home do you reside in?*

If you live in an apartment, does your building have an elevator or is it a walk-up?*

Do you have a backyard?*

If you answered yes to having a backyard, is it fenced in?*

If you answered yes to having a fenced in backyard, what is the fence made of AND what is the height of the fence?*

Are you planning to move in the next six months? *

If you answered yes to moving in the next six months, please provide more details here.*

How soon are you looking to adopt?*

Please list the name AND phone number of your current OR past vet clinic.*

If you do not have a vet, please list the name of the clinic you are planning to use.*

Please list the name, age and relationship of ALL adults in your household.*

Please list the name, age and relationship of ALL children in your household.*

Please list the name, sex, breed and age of ALL animals in your household.*

Please list how you got ALL animals in your household.*

Are your current dogs/cats spayed or neutered?*

If you answered no to your dogs/cats being spayed or neutered, explain why.*

Are your current dogs/cats up-to-date on vaccinations?*

If you answered no to your dogs/cats being up-to-date on vaccinations, explain why.*

What do you feed your dogs/cats? Please include the brand and type of food.*

If you currently have pets how will they react to a new dog in the home and how do you plan to acclimate them?*

If you had dogs/cats in the past, what happened to them?*

What is the average hours per day your adopted dog will be left home alone?*

What are the plans for your adopted dog to get exercise and relieve themselves when you are not home?*

Where will your adopted dog be kept when you are not home or when unsupervised?*

In what part of the home will your adopted dog reside at night?*

Do you plan to crate train your adopted dog?*

In case of an emergency who will care for your adopted dog?*

What is your relationship to the person named above who will care for your adopted dog?*

What size dogs do you have experience with?*

What breeds do you have experience with?*

How would you describe your experience with dogs/cats? (Check all that apply)*

I had one or more as an adult

I had one or more as a child

I have experience with bully breeds

I have experience bottle feeding

I have experience with animals who have special needs

I have experience with animals who have behavioral problems

I have professional experience working as a dog trainer or animal behaviorist

Have you ever re-homed or surrendered an animal to a shelter?*

If you answered yes to previously rehoming or surrendering an animal, please explain.*

How did you hear about Beastly Rescue?*

Read and Sign Waiver

In this area, “the rescue” refers to Beastly Rescue and any officer or representative from the rescue.

By signing/typing below, I certify that the information I have given is accurate and true. I further authorize the investigation of all statements in this application. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being null and void. I also understand that Beatsly Rescue may deny my application for any reason.

I am over 18 or the legal guardian of the participant above and I accept the terms of the waiver.

Your birthdate

IP: 216.73.217.5
Apr. 23, 2026

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Adoption Application For Chelsea

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Adoption Application For Chelsea

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