Adoption Application Is there a specific animal you would like to adopt? Yes No Select an Animal Select an animalNathanAprilMickeyScarletDinoSnowySnow AngelRufusSparrowSagePoloPepsiRoxieNathan Jr.Dopey and RiverSarafinaFrankBearLucySterlingRainRhondaScarlettFennelKohlPruePhoebePiper Name of the animal: Why have you chosen this animal? Name: Address: City: State: Zip: Home Phone: Cell Phone: Email Address: Are you 18 years of age or older? Yes No Do you currently have animals? Yes No How many animals do you currently have? Please list species, breed, age, name, gender and the altered status of each pet you currently have: Have you ever had any animals in the past? Yes No How many and what happened to them? Do you own or rent? Rent Own Landlord's name and phone number: Number of adults in your household? Number and ages of children in your household? Is everyone in the home in agreement on adopting an animal? Yes No Is it ok for us to visit your home (by appointment)? Yes No Do you have a fenced-in yard? Yes No Type of fence: Height of fence: Please note a fenced-in yard is not required for adoption. Some of our animals may do better in a home with a yard and this help us make the best match possible. Where will the pet be kept in the home? Where will the pet sleep? How many hours will the pet be alone each day? Under what circumstances would you NOT keep this pet? Reference 1 Name: Address: Phone Number: Relation to you: Reference 2 Name: Address: Phone Number: Relation to you: Reference 3 Name: Address: Phone Number: Relation to you: At Sarama Animal Rescue we take every precaution to place our animals in homes where they will thrive and be well taken care of. Sarama reserves the right to deny any adoption that we deem unsuitable. By submitting this application, you are agreeing that: Sarama reserves the right to verify your residence's current pet policy. Should there be any reason that you need to surrender your animal you are obligated to return it to Sarama Animal Rescue. By submitting this application, you certify that the above information is true and correct to the best of your knowledge. Previous Next Submit
