Date * Name of dog/cat you wish to adopt * Spouse/Roommate/Partner Name Address * Apartment/Unit Number City * State * ZIP * County * Primary Phone * Alternate Phone Email * Are you planning to move in the next six months? * If Yes, what will you do with your pet? * REQUIRED if you answered Yes to moving within the next six months. Are there children living in the household? * Does anyone in the household have allergies to animals? * If Yes, how do you plan on managing this issue? * REQUIRED if you answered Yes to the animal allergy question. Why do you want to adopt this animal? * How many CATS do you have in your household? Are your CATS spayed/neutered? * REQUIRED if you have CATS. What are the ages of the CATS in your household? How many DOGS do you have in your household? Are your DOGS spayed/neutered? * REQUIRED if you have DOGS. What are the ages of the DOGS in your household? What OTHER types of animals do you have in your household and what are their ages?
Example: Parrot/6 years, Hamster/2 years, four Rabbits/3 years, etc.
Have you ever adopted from Noah's Ark? * If Yes, where is this pet now? * REQUIRED if you answered Yes. Have you ever surrendered an animal to an animal shelter? * If Yes, why? * REQUIRED if you answered Yes. Where will the animal you want to adopt from Noah's Ark live? * Are you aware that food, pet supplies and medical expenses, if necessary, could be substantial? * It may take your new pet 4-6 weeks or longer to adjust to its new home. Are you prepared to allow this much time? * Are you willing/able to spend the time to house-train your new dog/cat? * CATS: How do you plan on handling your cats' need to scratch? * REQUIRED if you are adopting a cat. What reasons might cause you to return this pet? * Do you have any questions about adopting, or about the cat/dog you are interested in? PLEASE REVIEW THE FOLLOWING ADOPTION POLICIES AND INFORMATION. AFTER READING, CHECK EACH BOX. * THIRTY-DAY RETURN POLICY: All pet adoptions are given a thirty (30) day period during which time you may return the pet and receive a full refund of the adoption fee. 24PETWATCH GIFT INSURANCE: Adopters who provide a valid email address at the time of adoption are eligible for 30 days of pre-paid pet health insurance from 24Petwatch. Adopters must confirm/activate the gift within 7 days of the adoption date. Coverage begins the 2nd midnight following activation. MICROCHIP IMPLANT: All cats and dogs are implanted with a microchip for identification purposes. When the adoption is processed, the microchip is registered to the adopter. The microchip provides a permanent, positive identification for your pet. DECLAWING PROHIBITED: You agree not to have the cat declawed understanding that declawing is a painful amputation of the first joint of the cat’s toes. NO LIABILITY: You agree that Noah’s Ark Animal Foundation is not liable to you or any other party for any losses, injuries, damages, costs, expenses, liabilities, lawsuits or judgments whatsoever in connection with your adoption or ownership of the dog/cat. OWNERSHIP AGREEMENT: As the new owner, you agree to take full responsibility for the care and well-being of this pet for its lifetime. After the adoption is finalized, you will be responsible for all medical bills and decisions regarding this animal. IF YOU ARE UNABLE TO CARE FOR THIS DOG/CAT, YOU AGREE TO RETURN IT TO NOAH'S ARK ANIMAL FOUNDATION. By typing my name below, I certify that the information I have given is accurate and complete and I have read, understand and agree to abide by the above-mentioned ADOPTION POLICIES. * Your signature (to be completed at the shelter): Date (to be completed at the shelter): Noah's Ark Representative (to be completed at the shelter): Date (to be completed at the shelter):