Application to Adopt

Please Note: All Adoption Fee's are Non-Refundable!

**ALL animals in the home MUST be altered and current on vaccines and we DO NOT adopt to anyone that has rehomed a dog... NO EXCEPTIONS** Also we DO NOT adopt our babies to be outside dogs only or to be guard dogs! You must have a fence unless you live in an

apartment!!

Contact Us

Name of Pet you are Applying For

Full Name

ID Number / State

Date Of Birth

Address

City/ Zip Code

Phone Number

Email Address

Where do you live? House Apartment Townhouse Other

Landlords Name and Number

Does your landlord allow pets? Yes No I don't know

Do you have a fenced yard? Yes No

If fenced, please describe height and type? We REQUIRE a 6 FT fence for our Medium & Large Dogs unless in an Apartment..

How many adults live in your home? Ages?

How many Children? Ages?

Please provide Personal Reference

Do you want this pet for Companion Protection Gift Other

Pet would be without companionship for..

Where will the dog/cat be kept during the day?

Indoors

Outdoors

Crate

Dog Pen

Basement

Garage

Is anyone in your family allergic to animals? Yes No

What will you do with your pet if you move in the future?

Would you be willing to allow us to visit your home before adoption is approved? Yes No Not Sure

Have you ever given up a pet? Yes No

If so, why?

Please list pet type,breed,age

Are all pets spay or neutered? Yes No

Are all pets in the household current on vaccines? Yes No

Who is your Veterinarian?

It may take 2 weeks for a pet to adjust to a home, are you prepared to allow this much time? Yes No

How do you plan to house train your pet?

Will this animal be teethered or chained up? Yes No

Do you agree to return the animal to Gracie's if you are no longer able to keep them no matter how long you have had them.... Yes No

Will you agree to provide Gracie's with updates on how the animal is doing? Yes No

Do you agree not to do any cosmetic alterations to the pet? Yes No

You must agree to have the animal Sterilized

Yes

No

You agree to care for animal through ALL life changes yes no

You must NEVER put dog in the back of a truck loose or tied up I agree I disagree

I UNDERSTAND ALL ADOPTION FEES ARE NON REFUNDABLE YES NO

You agree Gracie's has the right to make inquires about the pet at any time.. yes no

If you fail to keep the spay/Neuter appointment that Gracie's scheduled you will be responsible to reimburse Gracie's a no show fee of $100 and we reserve the right to take the animal back until the sterilization is complete I agree I disagree

I understand that Gracie's CAN NOT guarantee the health and temperament of ANY adopted animal. I understand that Gracie's does not have past records for these animals and there may be some risk associated with taking in shelter animals. I agree to take the animal to the vet IMMEDIATELY if any illness is suspected. I hereby release Gracie's Project and it's Board of Directors and it's volunteers of any liabilities associated with the animal after its my possession. I also understand the animal is to be part of the family and reside INDOORS as a family member. The animal will be provided fresh water and food daily. I understand Gracie's WILL NOT be responsible for any damages to property caused by the animal and we STRONGLY suggest a crate . I also AGREE to notify Gracie's of any address or phone number changes..... Please Initial below if you agree..

Opt-In

Please note it may take a few days to process your application

Our Adoption fees are NON-REFUNDABLE and range from $200-$350 .....Do you acknowledge this? yes no

YOU UNDERSTAND THAT AT ANY TIME WE FEEL THE ANIMAL IS IN DANGER OR IS NOT BEING PROPERLY CARED FOR WE HAVE THE RIGHT TO TAKE POSSESSION OF THE ANIMAL. yes No

You have 30 days from the day your pet is fully vetted to pick up records and if you fail to do so then they will no longer be available

Thank you for submitting an application for adoption.We will get back to you as soon as possible.

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