The Haven For Animals

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Applicant Information
Name
Address
City
State
Zip
Phone (Home)
Phone (Work)
Phone (Cell)
Email Address
Date of Birth
Gender	Male Female
Driver's License #
Driver's License State
# of People in Household
If Children, what are their ages?
Are you or any member allergic to pets?	Yes No
Are you presently employed?	Yes No
General Information
Type of Residence	House Apartment Condo Mobile Home
If rental, are animals allowed?	Yes No
Maximum pet size?
Complex Name/Address
Manager/Landlord
Phone
Type of Street	Very busy street Slight traffic Residential area Country road
Where will animal live?	Inside only Outside only Mostly inside Mostly outside
Where will animal spend nights?	Inside Outside
Do you have a fenced yard?	Yes No
Height of fence
How many hours a day will the animal be alone?
Describe the activity level in your home	Busy (meetings with friends; work more than 40 hours) Noisy (dogs barking; children playing) Quiet (homebodies) Moderate Other
In the absence of the primary caregiver, who will care for the animal(s)?
Under what circumstances would you return the dog to us?	New job Divorce New Baby Move Illness
Are you willing and able to pay the veterinary costs for caring for your new pet?	Yes No
Are you able to take the time to work with the animal on housetraining, chewing or clawing?	Yes No
Would you consider obedience training for your new pet?	Yes No
How much time are you willing to allow for your new pet to adjust to your new home?
Pet Information
Name of animal I want to adopt?
Breed of animal I want to adopt?
Have you had pets in the last five years?	Yes(please complete the below) No
Name & Type of Pet 1 Owned
Years Owned & Spayed/Neutered for Pet 1?
Where is Pet 1 now?
Name & Type of Pet 2 Owned
Years Owned & Spayed/Neutered for Pet 2?
Where is Pet 2 now?
Name & Type of Pet 3 Owned
Years Owned & Spayed/Neutered for Pet 3?
Where is Pet 3 now?
Name & Type of Pet 4 Owned
Years Owned & Spayed/Neutered for Pet 4?
Where is Pet 4 now?
Name & Type of Pet 5 Owned
Years Owned & Spayed/Neutered for Pet 5?
Where is Pet 5 now?
Name of current or past Vet clinic
Vet clinic phone number
Will your pet be on flea and heartworm preventative?	Yes No
Are you aware that this is a large and lifelong commitment?	Yes No
How did you hear of The Haven?	TV Newspaper Friend Internet
Would you like to be a volunteer?	Yes No
Personal References
Name
Relationship
Phone number
Best time to contact

Check our pets for adoption here

Adoption Application

Customer Survey

Volunteer Application

Alabama Humane Federation

Alabama Pet Registry

Alabama Animal Alliance

559 South Section Street | Fairhope, AL 36532 | 251.929.3980
thehaven4animals@yahoo.com