Adoption Application - MarrVelous Pet Rescues & Adoptions

Apply To Foster Or Adopt

Whether you found the perfect dog on our Available Pets page or you just want to be pre approved for when you do, just complete the application below and tap submit!!! Your new Best Friend may be just a click away!

Please fill out application completely. It is important to answer every question. An incomplete application will NOT be considered. All fields are required, however, please use N/A where appropriate.

MPR Adoption Application

I am interested in: *

Adopting
Fostering

Which Animal? *

Name *

First

Last

Co-Applicant Name *

First

Last

Relationship to Applicant: *

Other Adults/Kids in Residence and their Age: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Cell Phone *

Email *

Name of Applicant's Employer *

First

Last

Employer's Phone Number *

Position: *

Do you Rent or Own your Home: *

If you rent, do you have your landlord's (homeowners) permission to have a dog/cat? *

Landlord's Name *

First

Last

Landlord's Phone Number *

What are your primary reasons for wanting to adopt/foster an animal: *

Does anyone in your home have allergies? *

If yes, please describe:

Do you have pets now? *

If Yes, how many? Please list all pet(s) you & co-applicant own, currently & in the past 5 years. Include Type, Breed, Sex, Age, Spayed or Neutered and where it is now *

Are the pet(s) vaccinations current? *

If not, why?

Are your current pets: *

Indoors
Outdoors
N/A

Are any rooms of the house off limits: *

If yes, which room(s):

Does your current pet have any temperament/aggression issues? *

If yes, please describe:

Have your pets been tested yearly for heartworms? *

Are your pets on a monthly heartworm preventative *

If Yes, What Brand:

Have you ever allowed a pet to breed? *

Is anyone at home during the day? *

If yes, Who is Home During the Day? *

If No, how many hours a day will the animal be left alone?

Selected Value: 0

Where will the animal stay when he/she is home alone? Be as specific as possible: (i.e., run of house, a specific room, a crate, etc.) *

When will the animal be indoors? *

When will the animal be outdoors? *

Where will the animal sleep at night? *

Who will care for the animal if you go on vacation? *

If you move, what will you do with the animal? *

What is your hurricane evacuation plan? *

Do you have a fenced yard? *

If no, how do intend to exercise the animal? *

Do you have a doggie/kitty door? *

If other, describe:

Below please list your current veterinarian and any you've used in the past 5 years. Submission of this application authorizes the named veterinarian to release any/all medical records: *

Please check to agree

Veterinarian Name *

First

Last

Veterinarian Phone Number *

Veterinarian Address

Address Line 1

Address Line 2

City

State

Zip Code

Other Veterinarian's used in the past 5 years: (Name, Number, Address)

How would you discipline the animal if he/she misbehaved? *

If Other, Explain (animal training)

Please check all that apply to your home: *

Busy household (visits by friends, children, parties, etc)
Noisy (TV, stereo, machinery, tools, children playing, etc.)
Moderate (normal comings & goings)
Quiet (homebodies, few guests, stay home a lot)
Lots of children in the neighborhood
Live on busy street or highway
Live on the open water or a canal

Would you consider an older animal: *

Would you consider an animal with health problems? *

Animal Gender preference: *

Energy Level Preference: *

High
Medium
Couch Potato
No Preference

Cost of ownership: Actual costs may vary depending on your personal veterinary costs. This shall provide a range for a healthy animal: Monthly Food: $15 - $80 Monthly heartworm preventative: $10 - $40 Monthly flea/tick treatment: $10 - $40 Annual vaccines, heartworm test & fecal exams: $100 - $400 *

Check to confirm you understated that there are costs associated with the ownership of an animal
Check if you dont understand

Do you understand that this is a lifetime commitment & a pet can live up to 20 years of age? *

Check to Confirm Yes
Check if you do not understand

Are you willing to keep the animal for its entire life knowing the above? *

Food & Veterinary costs in the case of illness or accident can be very costly, are you prepared to pay these costs in the event your pet requires extra care? *

Some animals require grooming, are you prepared to provide this grooming if at an additional cost? *

(1) Reference Name *

First

Last

References:(only one may be a family member)

(1) Reference Phone Number: *

(1) Reference Known How Long: *

(2) Reference Name *

First

Last

References:(only one may be a family member)

(2) Reference Phone Number *

(2) Reference Known How Long: *

(3) Reference Name *

First

Last

References:(only one may be a family member)

(3) Reference Phone Number: *

(3) Reference Known How Long: *

How did you hear about us? *

Please Check All To Agree: *

I understand that a home visit may be required prior to placement
I understand that a home visit does not guarantee placement
I understand this questionnaire becomes part of the adoption contract.

MarrVelous Pet Rescues reserves the right to refuse an animal to any applicant for any reason.

Signature *

Comment

Apply To Foster Or Adopt

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In this time of crisis,
Your Donations Are Needed Now More Than Ever!

Apply To Foster Or Adopt

Donate

Now!

In this time of crisis, Your Donations Are Needed Now More Than Ever!

In this time of crisis,
Your Donations Are Needed Now More Than Ever!