ADOPTION APPLICATION

BEST FRIENDS SANCTUARY INC.

P.O. BOX  1038

Jamestown, TN    38556

Call 931-879-6806 for any questions.

In order to be considered for an adoption, you must:

*Have the knowledge and consent of all adults living in your household

*Have the landlord's name and phone number or rental lease.   *Be at least 18 years of age

Name 1^st Applicant                                             Name 2^nd                                                                                    

Address                                                                                                                                 

Street                               City                                                 State           Zip

How long have you lived at this address?                                                                                    

Home Phone                                             Cell Phone                                                         

Employer (First Applicant) ___________________________Phone_______________

Employer (Second Applicant) ________________________ Phone _______________

Is your residence a (circle one)?  House   Trailer    Apartment   Condo      With Parents

If you rent, Landlord's Name                                                                        Phone #                     

Number of Adults in household                                # of Children                                      Ages                          

Reference                                                                                     Phone #                                      

Who is your veterinarian?                                                                            Phone #                                             

If you move, what will you do with your pet?  _____________________________________________

Your pet will need time to adjust to its new home. This can take one, two, or several weeks,

particularly if there are other animals involved.  Do you have the patience and understanding to allow enough time for this adjustment?                                                                                                    

DOGS (Circle: Yes or No)

Do you have a fenced yard? Yes  No   How many times per day will you take your dog outside?_____

CATS  (Circle: Yes or No)

In order to protect your cat from injury and disease, are you willing to keep it indoors as a housecat?

Yes  No

I/We promise to care for this animal in a proper and humane way.   I promise to provide necessary medical treatment when needed and I/we will also have this animal spayed/neutered (if not already altered).  If for any reason I/we are unable to care for this animal, I/we will return it to Best Friends Sanctuary, Inc.  I/we also give Best Friends Sanctuary, Inc. permission to check on this animal and if they deem that this animal is not being properly cared for, the animal will again become the property of Best Friends Sanctuary, Inc.

Signature_____________________________________________Date________________________

Signature_____________________________________________Date________________________

Best Friends Sanctuary Authorized Representative________________________________________