Application to Adopt - Max's Ark Rescue

Max’s Ark Rescue Adoption Application

Ready to Adopt?

IMPORTANT: Please Read Before Applying

We are a charitable, non–profit animal welfare organization recognized under ins laws of the State of Florida, has NO salaried Employees and is a 501 (C) (3) .

This application will advise prospective Adopters of our requirements for adoption and to determine if there is a good “fit” in the home for our animal and the prospective family.

We require that your new Pet be an indoor Pet. NO CHAINING OR TYING AN ANIMAL OUTSIDE WITHOUT SUPERVISION AT ALL TIMES, appropriate indoor crating if needed, appropriate veterinary care, Rabies vaccinations and others as needed. If this is a Dog, it must be maintained on Heartworm preventative medication.

The adoption FEE usually represents our costs in getting an animal ready for adoption, which may include sterilization, vaccinations and any other veterinary charges. Therefore, the adoption fee may vary on a per animal basis.

An animal adopted from us CANNOT be sold, given away, turned into a pound or abandoned. If it is lost or killed. the Adopter MUST advise us within 5 days. IF FOR SOME REASON YOU CANNOT KEEP THE ANIMAL “CALL US” WE WILL TAKE THE ANIMAL BACK.

THE ANIMAL MUST BE STERILIZED if for some reason it is not already.

IF YOU ARE STILL INTERESTED IN ADOPTING FROM MAX’S ARK. PLEASE COMPLETE THE APPLICATION BELOW:

Today's Date *

Adopter's Name *

Email *

Phone Number *

Address *

Other Persons in Household w/ age *

Name of Dog you hope to adopt?

What type of animal are you seeking? *

Sex: *

Color Preference:

Age preferred: *

Current / Past Pet Information

IF YOU HAVE NEVER HAD A PET WRITE NONE or N/A

Other Animals in your House? *

Are Other Animals Licenced and micro-chipped? *

Are the Animials you now own SPAYED or NEUTERED? *

Where do they Sleep? *

What Brand of Food do they Eat? *

Who is Your Veterinarian? *

Phone Number: *

How long will this animal be left alone? *

Where will this animal be left alone? ( garage, crate, lanai, other) *

If this is a dog, have you or would you use a crate? *

If this is a dog, would you obedience train it in a 8 to 10 week course if needed? *

Do You Rent or Own your Home?

select and click on choice

What Type of home do you live in? *

Select and click on choice

If you Rent, please add your Landlord's Name and Phone Number: *

Does your residence have a fenced yard for your pet to exercise? *

If Yes, what type of fence and how high is the fence?

Would you use one of the off leash dog park facilities? *

Name of Person Submitting Application ( this serves as your digital signature) *