How many children live in the home: Number: Ages:
How many adults live in the home : Number: Do all adults work outside the home: Yes
No
Are all family members (or roommates) in agreement about adding a new pet to your family? Yes
No
Do You... Rent?
Own?
Live with family?
Are you 21 or older? Yes
No
If renting , does lease allow for pets?
Yes
No
If renting , please provide landlord's name and telephone number.
Name: Phone:
If a dog(s) is currently owned and spends time outside, is it contained on your property and how?
Do you have a fenced in yard? Yes
No
If yes, what type of fence?
Select one......
Invisible
Chain Link
Wood Picket
Privacy
Other
Approximate size of fenced area:
If not fenced, how will you exercise your new dog and allow appropriate potty time?
Are your pets tethered? Yes
No
Where will this pet spend most of it's time?:
Select one.....
Indoor only
Mostly indoor with some outdoor
Mostly out with some indoor
Indoor/Outoor
Outdoor only
How many hours a day will your new pet be without human companionship?:
Where will your pet be kept when alone (Run of house, in a crate, garage, basement, tied out, fenced yard, dog lot, etc?:
Where will the new pet sleep at night? Please be specific.
If you are adopting a dog or puppy, who will train it?
If you are adopting a kitten or cat, how do you plan on meeting your new kitty's instinctual need to scratch?
Would you like us to provide information on why cats need to be able to sharpen their claws and how to provide appropriate surfaces? Yes
No
Are you prepared financially to spend a minimum of $500 per year for veterinary care, food, and other related expenses?
Yes
No
A well cared for pet may live in excess of 12 years. Does your lifestyle, career and family plans allow you to make this commitment?
Yes
No
Have you or anyone in you immediate family ever applied for a pet through CARA in the past? Yes
No
If yes, please list applicant's name and approximate date?
Under what circumstances would you give up a dog/cat?
Have you ever had to give up or find another home for a pet in the past? Yes
No
If yes, please explain?
If you choose to or are required to move in the future, is there a possibility you would not be able to take your pet(s) with you? Yes
No
If yes, what would you do?
Please list all companion animals you have had in the past 10 years.