Adoption Questionnaire

Thank you for choosing adoption! The following questions help guide conversation and assist us in matching you to your ideal forever friend!

This pet is a gift for ______________________________! I am answering the following questions from the perspective of the

recipient and/or the recipient’s family.

Tell us about the members of your household! (Example: number of adults, children [ages], seniors, special needs.)

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Tell us more about this pet’s future home! (Example: style, size, yard, etc.)

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Tell us about other pets living in your home, or pets you have previously owned.

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Help us find your ideal match! What you are looking for in a new pet? (Example: size, energy level, age, personality.)

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What kind of activities do you plan to do with your pet? How much time do you envision spending with your pet?

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Where do you plan to keep your pets when you’re home? Out of the house? Away from home?

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How much time do you anticipate it will take your pet to acclimate to you and your home?

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What circumstances would give rise to your considering returning or rehoming a pet?

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Are there any additional topics you would like to discuss? You will receive a copy of your pet’s medical file at adoption.

⃝ Basic Training

⃝ Crate-Training

⃝ Finding a Trainer

⃝ House/Litter Box Training

⃝ Pet Introductions

⃝ Leash Training

⃝ Finding a Veterinarian

⃝ Heartworm Prevention

⃝ Flea/Tick Prevention

⃝ Veterinary Insurance

⃝ Puppy/Kitten Proofing

⃝ Microchips

⃝ Declawing Cats

⃝ Socialization

⃝ Other, please ask!

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Personal Information Applications are received and processed on a first-come, first-serve basis. Completing this form does not obligate or guarantee an adoption. Available in-house pets (animals housed at the shelter) are held for a maximum of twenty-four hours with a completed application. Electronic submissions of this application may be retained for up to 90 days.

Name of Pet: _________________________________ ⃝ DOG ⃝ PUPPY ⃝ CAT ⃝ KITTEN Adopter Name(s): _________________________________

Phone Number: _________________________________ Alt: ______________________________

E-mail Address: _________________________________________________________________________ Pets microchipped at Richmond Animal League are registered through 24PetWatch. E-mail is required to receive 30 days’ complimentary Pet Insurance. Failure to provide an e-mail address will void promotional opportunities, but does not impact microchip service.

Street Address: __________________________________________

City, State, & ZIP: __________________________________________

Are you the homeowner? ⃝ YES ⃝ NO, but I certify that this pet is permitted by the property owner:

Name/Company: __________________________________ Phone: ___________________________

We welcome adopters who rent or live in apartments or condominiums. Some landlords and management companies have restrictions based on size, weight, or breed, or have limits on the number of pets allowed on the property. Your management company may require a pet deposit or additional fees prior to bringing a new pet home.

Veterinarian: __________________________________ Phone: ___________________________ A current veterinarian is required if there are other pets in the home. If this is a first or only pet, staff may recommend vets in your area.

Please provide references (minimum two); applications without references will not be accepted.

Name: ________________________________________ Phone: ___________________________

Name: ________________________________________ Phone: ___________________________

Name: ________________________________________ Phone: ___________________________

PLEASE READ BEFORE SIGNING: I understand that completing this adoption questionnaire and application does not guarantee approval for adoption. Failure to provide contact information may void this application. I certify that the information on this application is true and recognize that any misrepresentation of the facts may lead to the loss of my adoption privileges with RAL. I authorize RAL to verify all information on this application and will allow an in-home inspection any time before and after the adoption. Please take into consideration a companion animal can live 15-20 years. You must be prepared to make this commitment. By signing below, you are indicating that you have never been convicted of animal cruelty, neglect, or abandonment pursuant to the Code of Virginia § 3.2-6546 D. Signature: ______________________________________ Date: ____________________________