Adoption Application Full Name * First Name Last Name Phone Number * Country (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Birth Date * MM DD YYYY Other adults in the household * Are there children in the household? Please list ages * Has this person ever been convicted of a felony or accused of animal neglect or abuse? * If renting, is your landlord aware that you are adopting? * Is your yard fenced? * Place of employment. List name, address, and phone. (please note if retired or self employed) and how long employed. * Please describe your plan for pet care if you become unable to care for your pet. Who will care for them (if you are hospitalized or injured)? * Are there any other pets in the household? If yes, please list your current pet. * Do you have an HOA? * Personal reference (non relative) * Reference phone number * Country (###) ### #### Reference email * Years known? * Thank you!