UnitedPurpose Rescue Adoption Application
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Email *
Full Name *
Phone *
Full Address: *
Emergency contact name: *
Emergency contact number: *
Confirm Driver's License # *
Pet you are interested in adopting (name) *
Do you currently have a vet? *
If marked yes above, please provide name, number and email. 
Is anyone in your home allergic to animals?
 *
Do you live in a _____?
 *
Do you have landlords written permission to own a pet?
 *
May we contact your landlord to verify?
 *
Are you comfortable with a home check? *
Do you have a yard?
 *
Type of fence
 *
If you do not have a fence, do you have plans to take your adoptee outside?
 *
Where will the pet be kept in the day and at night?
 *
How many hours of the day will the pet be alone?
 *
What were to happen if you move?
 *
In what situations would you consider rehoming your pet? 
 *
Please understand that not all animals that get adopted are immediately comfortable in their new
homes and need adequate time to adjust. How much time are you willing to give an animal to adjust to
your household before deciding to return the animal back to UnitedPurpose rescue? Please explain why.
 *
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