Wild Rescue One

12051 Buzzard Glory Road

Crooksville, OH 43731

740-982-6810    740-704-2924

 


ADOPTION APPLICATION

 

Type of Animal Applying to Adopt:                                                                                                                    

 

Your Name:                                                                                                                              Age:                     

 

Email:                                                                                                                                                                       

 

Street Address:                                                                                                                   Apt #:                         

 

City:                                                                                    State:                            Zip Code:                           

 

Home Phone:                                                             Work Phone:                                                                  

 

Occupation:                                                                 Employer:                                                                     

 

Do you rent or own your home?                                                                                                                         

 

(If you rent) How many other units in the building?                                                                                    

 

(If you rent) What is your lease’s animal clause?                                                                                        

                                                                                                                                                                                   

                                                                                                                                                                                    

 

Do you have children in your home?                            If yes, what ages?                                               

                                                                                                                                                                                   

                                                                                                                                                                                    

 

Are there any state or local laws where you live regarding exotic animals?                                       

                                                                                                                                                                                   

                                                                                                                                                                                    

 

List all other pets / animals currently in your home:                                                                                  

                                                                                                                                                                                  

                                                                                                                                                                                   

 

Why do you want to adopt an animal from Wild Rescue One?                                                               

                                                                                                                                                                                   

                                                                                                                                                                                    

 

List all types of animals you have kept at any time in the past:                                                                

                                                                                                                                                                                      

                                                                                                                                                                                           

Where are the animals from the previous question now?                                                                           

                                                                                                                                                                                       

                                                                                                                                                                                       



What kind of work or hobby experience do you have dealing with exotic animals or the animal  that you wish to adopt? (if any):                                                                                                                                                                             

                                                                                                                                                                                      

                                                                                                                                                                                        

 

Type of enclosure and accessories you already have for this animal (be specific: enclosure dimensions, light wattage, etc):                                                                                                                                                                                         

                                                                                                                                                                                         

                                                                                                                                                                                            

 

Who is your current veterinarian?                                                                                                                            

 

If you have one do they have experience with exotic animals or the animal that you wish to adopt?

                                                                                                                                                                                        

 

If you do not have a vet, which veterinarian do you plan to use?                                                             

                                                                                                                                                                                        

 

Veterinarian Clinic Phone #:                                                                                                                                  

 

What will you feed the animal that you wish to adopt?                                                                             

                                                                                                                                                                                

 

Where will you acquire food for your animal?                                                                                                

                                                                                                                                                                                    

 

What will happen to your animal if you can no longer care for it?                                                          

                                                                                                                                                                                   

                                                                                                                                                                                    

 

Anything else you think we should know when considering your application:                                 

                                                                                                                                                                                     

                                                                                                                                                                                     

 

If printing application out and mailing please sign below. If e-mailing the application as an attachment, please type your name.

 

BY SIGNING BELOW,  I ATTEST THAT ALL STATEMENTS MADE ARE TRUE AND CORRECT.

 

Applicant Signature                                                                                                          

Date                                                                                                                                      

 

PLEASE READ:

The pet you are applying for is to be provided with a good home and receive kind treatment and proper care including necessary shelter, food, water and medical treatment. The right of ownership is not absolute, but conditional, and is subject to termination upon demand if at any time said rescue determines at it's sole discretion that the animal is not being taken proper care of. The ownership and responsibility belongs solely to the adopter. The adopter shall not sell, give, or otherwise transfer ownership of the animal adopted from said rescue without the written permission of the said rescue.

 

Said rescue reserves the right to void the contract and demand the return of the animal at the adopter’s expense. If the terms of this contract are not upheld.

 

I understand that the animal I am agreeing to adopt may or may not be altered and vaccinations should be current but may need to be updated at the time of adoption. You should not let your new pet come in contact with any other pets for at least 14 days and practice good hygiene between handling each animal to avoid spreading infectious diseases.

 

If my new pet is not altered yet, I agree to alter him/her if appropriate. While waiting for my new pet to be altered I will not allow my new pet to become pregnant or impregnate any other animal. I will also update vaccinations at the time of my new pets altering appointment. if applicable.

 

If we have to demand your pet back because you neglected to adhere to this contract it will be at your expense. Such expenses could range from vehicle rental, gas and lodging if the transport of the animal is over 3 hours away from the county where the animal is originally from.

 

The said rescue cannot guarantee the health or the temperament of the animals adopted from us. The said rescue shall not be held responsible for any defects or illness which the animal may have or may develop. The adopter releases the said rescue from any and all liability associated with the adoptive animal.

 

I have read the preceding and by signing the contract agree to adhere to the conditions of this contract. This contract is legal and binding in a court of law.

 

Your emailed signature is as legal and binding as your handwritten signature, so by signing this application you are agreeing to all of its terms and conditions