AZI Adoption Application

Contact Information
Date *
Date
Name *
Name
Address *
Address
Phone *
Phone
Adopting an Animal
For example: companionship, for spouse, for children, as a guard dog, or something else.
Not interested in a specific animal? That's okay! Just leave this blank and we'll help make a match.
Not interested in a specific animal? That's okay! Just leave this blank and we'll help make a match.
For example: very fearful, not housetrained, keeping distance, etc.
HOME ENVIRONMENT
Tell us who will be taking care of the animal. Please include the ages of children, if applicable.
Family house, apartment, farm, flat, houseboat, or something else.
Do you have a backyard or garden? *
Will the animal need to climb stairs? *
Is an elevator available? *
Will the children also be involved in the care of the animal?
walking the dog, feeding, playing, etc.
Are other animals living in the house? *
Are they used to living with other animals?
Do all family members agree with the choice that was made? *
Have you considered the costs that come with having an animal? *
Have you considered the consequences that come with having a pet? *
Regular walks/playtime, restriction of your freedom to go whenever and where ever you want to, finding pet-sitters if you need to leave for some time, etc.
Have you thought about a solution for situations in which you can or will not be able to take care of the pet yourself? *
For example a holiday, stay in the hospital, etc.
If you want to adopt a puppy, have you realized the consequences? *
chewing everything, house training, socialization, training, puberty, etc.
Will the animal ever be alone in the house? *
If yes, how many hours a day?
Cold temperatures, snow, heavy rain, storms, etc.
Are you informed about the adoption conditions? *
Are you informed about the home visit(s) also after the adoption? *
Are you informed about the potential of parasitic and bacterial diseases suc h as eishman ia, ehrlichia, filaria, babesia? *
Are you informed about the potential of parasitic and bacterial diseases such as eishmania, ehrlichia, filaria, babesia?