Almost Home Animal Rescue Adoption Application
Maryville, TN
(865) 236-0830
www.almosthometn.org

Please add the information requested below and e-mail the completed form to judy@almosthometn.org.  It will be reviewed as soon as possible.  If you do not hear back from Almost Home Animal Rescue within 24 hours, please forward a copy of this application to info@almosthometn.org.   Thank you.

Date:  November 14, 2014

Name of Animal(s): 
 
Name of Applicant: 
Address: 
City and State: 
Zip Code: 
Home Phone: 
Cell Phone: 
Work Phone: 
E-mail: 
 
Where do you live (House, Condo, Apartment, Farm, Mobile Home)?
Do you own or rent?
If you rent, has your landlord given you permission to have a pet? 
Landlord’s name and contact information:
What will happen to the pet if you move? 
How long have you lived at this address? 
Do you have a fenced yard?
If yes, what type and how high is the fence?
If you have roommates, do they agree to have pets in the home? 
Number of Adults: 
Number of Children: 
 
List all the pets you have owned in the last five years: 
Are the pets still with you?  If not, please explain circumstances.
Who is your veterinarian? 
How long have you been a client? 
 Veterinarian’s address: 
 
Veterinarian’s phone number: 
Please list other names besides yours connected to veterinary records?

Are all of your pets spayed or neutered? 
Do any of your current pets have health and or temperament issues? 
Where will the animal live (Indoors, Outdoors, Both)? 
Where will the animal sleep?
How long will the animal be left alone during the day? 
If adopting a dog, how much time per day will you allow for exercise?
How long will the animal be crated during the day? 
How long will the animal be crated during the night? 
 
Do you know how to house train an animal? 
If adopting a dog, would you consider obedience training if needed?
If adopting a cat, do you plan to have it de-clawed?
How will you address behavioral problems?
If a behavioral problem continues, do you agree to contact Almost Home to learn how to address the problem? 
 
REFERENCES

Reference 1 - Name: 
 
Reference 1 - Phone Number: 
 
Reference 2 - Name: 
 
Reference 2 - Phone Number: