HOME - Mostly Mutts AR

Pet you are interested in:

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Your First & Last Name:(*)

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Your Age:(*)

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Street Address:(*)

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City:(*)

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State:(*)

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Zip Code:(*)

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Home Number:

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Cell Number:(*)

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Work Number:

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Email:(*)

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How did you hear about Mostly Mutts?

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Who are you adopting for?(*)

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What do you live in?(*)

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Who pays the mortgage?(*)

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Do you own or rent?(*)

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Property Owner or Development Name:

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Property Owner or Development Phone Number:

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Number of Adults in House:(*)

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Relationship to you:

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Number of Children in Home:

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Age of Children in Home:

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Are other children regular visitors?(*)

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Does anyone in your household have an allergy to pets? (*)

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How many times have you moved in the past five years?

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Do you work?(*)

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How many hours, on average, will your new pet be left unattended per day?(*)

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Place of employment?

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How long have you worked there?

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Is your yard fenced?(*)

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Do you have an electric fence?(*)

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If your yard is fenced, how high and what type?

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How many dogs do you currently own?

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How many cats do you currently own?

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What other animals do you own?

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Are there any pets, other than your own, in the home? (*)

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Are your animals currently vaccinated?(*)

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Are your animals currently spayed/neutered?(*)

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Are your animals currently on heartworm preventative?(*)

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How often is heartworm preventative administered?(*)

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Please contact your vet (s) to give permission to release your records to us.

Name of Veterinarian (1):

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Phone number of Veterinarian (1):

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Name of pet OWNER the records would be under? (1)

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Name of Veterinarian (2):

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Phone number of Veterinarian (2):

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Name of pet OWNER the records would be under? (2)

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If pets have records at different vets, please specify where the most recent records for each pet may be found.

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Have you ever completed a dog obedience or training course?(*)

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Have you ever surrendered an animal to a shelter or
animal control or given a pet away?(*)

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Have you previously adopted from Mostly Mutts?(*)

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If so, pet's original name and year adopted.

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List ALL companion animals you have owned in the last five years, both living and deceased. Include name, breed, gender, age, number of years owned and where is the pet now.(*)

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How long have you been looking for a new pet?(*)

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Reason for adopting:(*)

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Are you adopting a pet to live:(*)

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Where do your current pets stay during the day and at night?

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Where will your new pet stay during the day? (be specific)(*)

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Where will your new pet sleep at night (be specific):(*)

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Who will care for your dog when you travel? (*)

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On a scale of 1-10 (1=low, 10=high), rate your family’s energy/activity level?(*)

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On a scale of 1-10, what is the energy/activity level of the dog you wish to adopt?(*)

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How do plan on exercising your new dog?(*)

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How much time are you willing to give this dog to adjust to its new home/family?(*)

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Would you ever consider returning an adopted pet?(*)

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What method(s) of training would you use for bad behaviors?(*)

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Will you commit to a training class when your dog has behavior issues?(*)

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What will you do if you: Catch your dog pottying indoors?(*)

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Don’t catch your dog in the act, but find a mess later?(*)

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Are you prepared to care for a dog for up to 15 years?(*)

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What will happen if your pet outlives you?(*)

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How much do you think routine veterinarian care costs yearly?(*)

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How much are you prepared to pay for emergency vet care?(*)

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Tell us a little about yourself and why you feel you could provide a good home for this dog?(*)

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Please contact your references to let them know to expect a call from us. NOTE: the call will be from an unfamiliar number-not Mostly Mutts.

**UNLESS REQUESTED, REFERENCES CANNOT BE FAMILY MEMBERS, ROOMMATES, LANDLORDS or VETS**

First reference Name:(*)

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Relationship:(*)

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Best contact #:(*)

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Second reference Name:(*)

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Relationship:(*)

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Best contact #:(*)

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PLEASE READ THE FOLLOWING AND SIGN BELOW.
Mostly Mutts appreciates your patience and understanding throughout this application procedure. Please understand our goal is to make sure these animals are placed in only the best homes. The responsibility of Mostly Mutts is the best interest of the animal. Mostly Mutts has permission to contact my vet, landlord & references during the application process. Mostly Mutts has the right to refuse an adoption for ANY reason. This application remains the property of Mostly Mutts. A fully executed contract completes this adoption. I certify that the above information is true. I understand and agree that this adoption placement is conducted solely for the purpose of providing long-term care for the adopted animal(s). Should a representative of Mostly Mutts ask to see the animal(s), reasonable access will be granted. If it is determined that the animal(s) are not properly cared for, the animal(s) may be reclaimed by Mostly Mutts. Further, I agree to pay any reasonable expenses, including legal fees that may be incurred by Mostly Mutts in the event that the adopted animal(s) placed into my custody are reclaimed by Mostly Mutts because of neglect or abuse of said adopted animal(s).

APPLICANT’S SIGNATURE:(*)

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Date:(*)

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(*)

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Mostly Mutts Dog Adoption Form