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BUDDIES FOR LIFE

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Application for Adoption

* Indicates required field

NAME *

Phone Number *

Email *

ADDRESS *

CITY *

STATE *

ZIP *

Is this the address where the pet will reside? *

Yes No

Please check the appropriate blank: Do you live in a *

HOUSE CONDO APARTMENT MOBILE HOME OTHER

Name and phone number of landlord or apartment complex if applicable. *

Employer *

How many humans live in your household?

# adults *

adult ages *

# children *

children ages *

Does anyone in your household have allergies to animals? *

Yes No

Please check the appropriate blank(s): What are your reasons for adopting a pet? *

Gift Companion Children Guard Other

What made you choose THIS animal for a pet? *

How much time will this pet be left alone in a 24-hour period? *

How much time will this pet be outside in a 24-hour period? *

Please check the appropriate blank(s): Where will this pet be kept when left alone? *

Crate Free roam of home Backyard Screened porch Chained Other

Is your yard fenced in on all sides? *

Yes No

If yes, type of fence? *

Where will your pet sleep? *

How will this pet be exercised? *

Please check the appropriate blank: If you should move, what will you do with this pet? *

Return to Buddies for Life, Inc. Take with me Give to a friend or family member Take to a shelter Other

How many dogs/cats have you had in the last three years? *

What happened to them? *

Do you have any dogs/cats in your home now? *

Yes No

If yes, how many dogs? *

How many cats? *

Name and phone number of your pets’ veterinarian. *

Have you ever given up a pet? *

Yes No

If yes, what were the circumstances? *

Name of pet you are interested in adopting *

Submit

Home
Applications
- Adopt
- Foster
About

​Application for Adoption

​How many humans live in your household?

Application for Adoption

How many humans live in your household?