Pets Wanted - BARREN RIVER ANIMAL WELFARE ASSOCIATION

Are you 21 or older?*

Yes

Name*

First

Last

Address*

Street Address City State Zip Code

Phone Number*

Email*

House or Apartment*

Rent or Own*

Landlord Name or Company (Required if you Rent)

Landlord Phone Number

Will the animal be inside or outside?*

How many adults are in your home?*

How many children are in your home?*

Ages of children?

If there are any children in the home, are you prepared to not only train the animal but to prepare the child for the responsibility and how to respect an animal and their space, keeping in mind most children are bit because of lack of knowledge?*

Name, gender & breed of animals that currently live with you or visit regularly *

Have you ever experienced PARVO?*

If No, do you know what PARVO is?*

Are your animals current and up to date on all vaccines and Rabies Vaccination as required by KY Law?*

Veterinarian clinic that you use or will use*

Veterinarian Phone Number*

Are you willing and open minded to let our adoption counselors help you find the best pet for you and your current home situation?*

Are you looking for a cat or dog?*

Do you prefer male or female in your new pet?*

Are there any color preferences?*

What age of pet do you prefer?*

What size of pet are you looking for?*

Do you have a problem with having your pet spayed or neutered?

Do you understand that all pets have the potential to shed?*

What are the must-haves you are looking for with your new pet?*

What type of training are you willing and able to do for your new pet?*

On average, how much time will you be able to spend with your pet each day?*

How would you describe your home life?*

This form will be kept of file for 30 days. Please submit a new form after 30 days.