Application form Adoptanimaux .pdf


Nom original: Application form - Adoptanimaux.pdf


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Association ADOPTANIMAUX
25 rue du couteau - 86110 Mazeuil
06 88 21 28 76/09 67 13 94 07
mail: association.adoptanimaux@gmail.com
Thank you for expressing an interest in adopting an animal from the association ADOPTANIMAUX
Please fill in the document below and email it back to us at: association.adoptanimaux@gmail.com
The purpose of this document is to provide us with extra information about you, the potential
adopters, in order that we can do our best match your expectations and search criteria.
This information WILL NOT be shared and will remain confidential.
IF YOU HAVE DIFFICULTY FILLING IN THIS FORM ELECTRONICALLY, PLEASE SEND US AN EMAIL WITH
YOUR CONTACT DETAILS

NAME OF THE ANIMAL:
Your contact information:
Name :
Address:
Town :
Phone :
Mail :
Your Home:
House :
Surface :
Garden's surface area :
Fenced ?
yes
no
Height of all fences and gates:
You and your family:
Age range:
Job:
How many people live in your house:
How many children:
Ages:

First name:
Postal code :
Mobile :

appartment :
Surface:
Floor:
Lift:

If no children, do children come and visit?
What age?
Does all the family agree on the adoption?

Yes 

no 

Yes 

no 

Can you come and get the animal? Yes 
no 
If you can't, how many km (round trip) can you drive? …......................
If your application is accepted, how many days do you need to get the animal?

Living conditions of the dog:
Do you have other dogs?
Yes
no
If you do, age, sex, character:
Are they sterilized?
yes
no
Are they vaccinated?
yes
no
Date of the last vaccination (DD/MM /YYYY)……………………….
Do you have other animals?
If you do, breed and age:

Yes 

no 

Contact information of your (former) vet:
…………………………………………………………………………
Is it your fisrt dog?

Yes 

no 

For how many hours and how often is your dog likely to be alone?
Morning?
Afternoon?
Evening?
How many days a week?
Do you come back home for lunch? Yes 
Where will be the dog during your absence?
Can he get to the garden during your absence?
Yes 
Where will he sleep at night?
Who will take him out and look after him?
How many walks a day?
Total duration?

no 
no 

What do you expect from the dog you are about to adopt? Your priorities:
Good with children 
Good with other dogs 
Good with cats 
playful, energetic 
Calm 
Happy to be left by themselves 
House-trained 
Sociable with strangers 
Comfortable in towns 
Calm in car: 
What else: 
Why do you want to adopt a dog?

Your Plans:
Do you intend to change your schedule?
Yes 
Do you intend to move?
yes 
If you do, say more:
If you go on holidays, what solution do you plan?

no 
no 

In light of recent adoptions, please confirm that if in the unlikely event of a break-up,
you or your partner will commit to keeping the adopted animal?
yes 
no 
Do you agree to us keeping in touch with you and the animal after the adoption (e.g.
house visits etc)?
yes 
no 
Do you agree to contact us in the first instance if you have any problems with your
adopted animal?
yes 
no 

Here are our conditions of adoption:
if your candidature is considered, a pre-adoption visit will be planned to your home.
After validation of the adoption, an adoption contract will be sent to you by mail ,
email or will be waiting for you at the foster home of the animal , The contract has to
be sent back with a copy of proof of identity (the adopter must be over 18) , proof of
address (less than 3 months old) and the adoption fees.
Please note that all our dogs are vaccinated, chipped and neutered or sterilized. If not
sterilized before the adoption, we will ask you a 200euros deposit cheque (according
to the terms of the contract of adoption) that will not be cashed and which will be
returned to you when we receive the certificate of sterilization from the vet.
After the adoption, you agree to keeping us updated with news of the dog regularly
either by phone or by mail or email, we love hearing how our little furry friends are
getting on!
For any other questions or further information please contact us on 09 67 13 94 07.
Thank you for showing interest in adopting, we hope you will give lots of love and
happiness to our « loulous »!!

Done by:
Date:
Signature:


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