What is the name of the dog you are interested in adopting? (If there is not a specific dog you are interested in, please leave this blank)
Choose an animal:
Bud De Boi
Why are you looking to adopt a dog?*
Is this adoption conditional?*
If yes, explain the condition(s):
Drivers License (State & Number):*
Employer Contact Number:
Please choose housing type:*
In what type of home do you live*
Is your yard fenced*
Yard Partially Fenced
Yard Completely Fenced
What is the height of the fence*
Number of Adults in Household:*
Number of Children in Household:*
Ages of Children:
How many hours are you away from home daily?*
How long at current address (years & months)?*
Do you have plans to move within the next 12 months? *
Are you willing to purchase a crate if needed?
Do you have a pet door?
Will you consider obedience class if needed?
Do all the adults in the household consent to adopting this pet?
Do you give MARS permission to conduct a home check? *
Does your landlord have any restrictions on size, weight or breed of pet?*
Is a pet deposit required? If so, how much?
Contact name and number for landlord:
Name of Veterinarian
Veterinarian's Contact Number
Do you give MARS permission to contact your veterinarian prior to adoption?
What animals do your household members have known allergies to?
Whom are you getting this pet for?
Do you plan to chain your pet in the yard?
Do you prefer your pet to be spayed/neutered? *
Have you ever adopted an animal before? If so, from whom?
Have you ever given up an animal for adoption? If so, why?
Please describe the pets you currently own.
Which vaccinations are your animals current on
Which heartworm preventative do you currently use?
I agree to abide by Mobile Animal Rescue Services Inc. guidelines and to return the pet to MARS Inc. if i cannot keep the pet or if the pet is lost or dies. I understand if the information provided on this application is incorrect or untrue, I will relinquish the animal upon demand. I agree to allow a representative of MARS Inc. to inspect my home and yard and if any violations exist, I agree to allow the agent to remove the animal from the premises and this entry shall not constitute trespass. I acknowledge this application is correct and complete to the best of my knowledge. *
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"Helping Pets in Need"