MARS Adoption Application

MARS Inc.
2100 W NW HWY # 114, Grapevine, TX 76051

mg@airmail.net
817-880-5858

Please fill in information you know on animal you are interested in adopting

Name

Gender

Male
Female

Age

Breed

Adoption/Foster Application

All potential adopters and foster homes are screened for suitable placement of animals. MARS reserves the right to refuse placement of an animal for any reason.

Requirements / Qualifications:

You must be 21 years of age or older and have identification showing your present address
You must have the consent of all adults living in the household.
You must have the consent of your landlord if you rent your residence and proof of pet deposit.
Your pets must have current vaccinations and be free of contagious illnesses and be spayed or neutered.
You must be able and willing to spend the time necessary to provide/administer proper training, medical treatment, and care for the pet.
You must agree that any damage done to your home by the pet is NOT the responsibility of MARS Inc.

Conditional

Yes
No

Condition

Trial Expiration Date

Adoption/Foster Information

Name

Home Phone Number

Work Phone Number

Cell Phone Number

Address

Apt#

City

State

Zip

Email Address

Drivers License Number

Please select all that apply

Own Home
Rent
Live With Parents
Military

Please choose house type

Pet will be kept

Please provide your employer

Employer contact phone

Number of adults in household

Number of children in household

Ages of children in household

Do all adults in household consent to adoption of this pet?

Yes
No

Are you a student?

No
Full Time
Part Time

Do you travel frequently?
(More than 5 days per month)

Yes
No

Does anyone in your household have any known allergies to:

Dogs

Yes
No

Cats

Yes
No

Other Animals

Yes
No

Do you have a fenced yard?

Yes
No

Type Of Fence

Hieght

Other Type

How long at current address?

Years Months

Do you plan to move in the next 12 months?

Yes
No

Choose time away from home

Where will this pet stay while you are gone during the day?

Where will this pet sleep at night?

Are you willing to purchase a crate if needed?

Yes
No

Do you have a pet door?

Yes
No

Will you take this pet to obedience class?

Yes
No

This section is for renters only.

Does your landlord allow pets?

Yes
No

Is a deposit required?

Yes - How Much?
No

Is there a weight or size limit?

Yes
No

Max Size

inches

Max Weight

lbs

Can proof of deposit be obtained from your landlord?

Yes
No

Name of apartment complex or landlord

Contact number for landlord

Pet Ownership History

Have you ever adopted an animal before?

Yes
No

From who?

Have you ever given up an animal for adoption?

Yes
No

Why?

Are you getting this animal for yourself?

Yes
No

For who?

Please tell us what behaviors you are unable or unwilling to work through?

None
Digging
Chewing
Barking
Jumping
Eliminating In The House
Thunderstorm/Seperation Anxiety
Other

Other

Who will be the primary caregiver?

Do you want your pet spayed/neutered?

Yes
No

Do you plan to chain your pet in the yard?

Yes
No

Total number of pets you currently own

Dogs

Cats

Other

Number of pets NOT currently owned, but owned within the last 10 years.

Dogs

Cats

Other

Specify what happened to them

Are all the pets in your household current on shots?

Yes
No

Are all the pets in your household on heartwork prevention?

Yes
No

What kind?

Given on what day?

Name of veterinarian

Location of veterinarian

Phone number of veterinarian

Do you give MARS permission to contact your veterinarian and do a home check prior to adoption?

Yes
No

Please list below all pets currently owned or owned in the past

1st Animal

Canine/Feline

Canine
Feline

Breed

Male/Female

Male
Female

Length Of Ownership

Owned now?

Yes
No - Why Not?

Altered?

Yes
No - why Not?

Where kept?

If this is a cat, is it declawed?

Yes
No

2nd Animal

Canine/Feline

Canine
Feline

Breed

Male/Female

Male
Female

Length Of Ownership

Owned now?

Yes
No - Why Not?

Altered?

Yes
No - why Not?

Where kept?

If this is a cat, is it declawed?

Yes
No

3rd Animal

Canine/Feline

Canine
Feline

Breed

Male/Female

Male
Female

Length Of Ownership

Owned now?

Yes
No - Why Not?

Altered?

Yes
No - why Not?

Where kept?

If this is a cat, is it declawed?

Yes
No

4th Animal

Canine/Feline

Canine
Feline

Breed

Male/Female

Male
Female

Length Of Ownership

Owned now?

Yes
No - Why Not?

Altered?

Yes
No - why Not?

Where kept?

If this is a cat, is it declawed?

Yes
No

5th Animal

Canine/Feline

Canine
Feline

Breed

Male/Female

Male
Female

Length Of Ownership

Owned now?

Yes
No - Why Not?

Altered?

Yes
No - why Not?

Where kept?

If this is a cat, is it declawed?

Yes
No

6th Animal

Canine/Feline

Canine
Feline

Breed

Male/Female

Male
Female

Length Of Ownership

Owned now?

Yes
No - Why Not?

Altered?

Yes
No - why Not?

Where kept?

If this is a cat, is it declawed?

Yes
No

I agree to abide by Mobile Animal Rescue Services Inc. guidelines and to return the pet to MARS Inc. if I cannot keep it; and to notify MARS Inc. if the pet is lost or dies.
I understand if the information provided on this application is incorrect or untrue, I will surrender this pet to MARS Inc. upon demand. I agree to allow a representative of MARS Inc. to inspect my home and yard and if any violations of the contract ar in evidence, I agree to allow the agent to remove the animal from the premises and this entry shall not constitute trespass.
I certify that all the information in this application is correct and complete to the best of my knowledge.

I agree
I do not agree

Please print your name here it signify your
signature on this application

Todays Date

Cancel and go back.