850-668-5999 | Fax: 850-668-5998

Pet Adoption Questionnaire

Animal you’re interested in adopting

Breed

Applicants Information

Name

Email

Street Address

City

State

Zip

Home Phone

Cell

Work

Driver's License #

State Issued

Do you own or rent your home?

Landlord’s name if applicable

Landlord’s Phone

If renting, have you spoken with your Landlord and have permission to have an animal and paid any necessary pet deposit?

How long have you lived at this address?

Is your yard fenced?

Do you plan to move within the next 6 months?

Explain (If Yes)

If moving, do you plan to take your new pet with you?

Your Animal History

How many companion animals do you currently live with?

Breeds & ages if applicable

Kept inside or outside? if applicable

How long have you had each? if applicable

Are you animals currently vaccinated?

Who is your Veterinarian?

Phone

May we visit your home prior to adoption? Again in 6 or 12 months?

Do you plan to declaw (cat) or crop ears or tail (dog)?

Do you agree to contact us at VOCAL @ BeVocal.org or 850-668-5999 should you find you are unable to care for your adopted pet for any reason? We are here to help you!

Yes, I Agree

I certify that the information I have provided is true and correct. I understand it is VOCAL's mission to unchain all dogs and should I choose to chain this animal I’ve adopted at any time in the future for any reason I’m giving VOCAL the right to confiscate this animal immediately.

Yes, I Certify



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