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13780 Highway 69, Savannah,
Tennessee 38372
Phone: (731) 926 4008 Fax: (731) 926-3000 |
Adoption
Application |
Welcome to Horse Creek Wildlife Sanctuary
and Animal Refuge. Thank you for your interest in adopting a
pet.
The following information is requested
so that we can assist you in the selection of your new pet. THE
ANIMAL'S WELFARE IS OUR FOREMOST CONSIDERATION. Our process is
designed to help us determine if adoption is in the animal's
best interest and to assist you in finding an animal most compatible
with your lifestyle.
The animals available for adoption came
here from a variety of sources. All animals are examined upon
entry and animals of appropriate age are spayed/neutered. Their
health is routinely monitored, but there is always a chance that
an animal is incubating a disease without showing any clinical
signs.
Horse Creek reserves the right to refuse
adoption to anyone. No animal will be adopted to persons having
an extensive history of losing, giving away, or selling animals,
or of having animals injured or killed by moving vehicles. No
animal will be adopted to prospective owners who mislead or fail
to provide accurate information on the adoption application.
IN ORDER TO BE CONSIDERED AS AN ADOPTER,
YOU MUST:
* Be 18 years of age or older.
* Have identification showing your present
address.
* Have the knowledge and consent of your
landlord.
* Be able and willing to spend the time
and money necessary to provide food, shelter, medical treatment,
appropriate training and proper care for a pet.
You may print and fax this form to (731)
926-3000 or copy, paste and email it to Lindia
Paulson.
APPLICANT INFORMATION:
Name:
Spouse Name: Date:
Address:
City: State:Zip:
Home Phone: Work
Phone:
Email Address:
Employer:
ADOPTION INFORMATION:
What kind of pet would you like to adopt? Adult Dog Puppy
Why do you want a pet?
Do you have any preferences as to breed, sex, age, size,
length of hair, etc.? Yes No
If so, what are your preferences?
Is this your first experience with a pet? Yes No
What pets do you currently have in your household?
List pets owned in the past five years other than those
listed above.
Who is your veterinarian?
Where do you currently live?House Apartment Condo Duplex Mobile Home
Do you own or rent? Own Rent
If you rent, does your lease allow pets? Yes No
If you rent, what is your landlord's name?
What is your Landlord's Phone Number?
How long have you lived at your current address?
How many people live in your household?
Do all the adults know that you plan to adopt a pet? YesNo
If there are children in your household, what are their ages?
Does anyone living in your household have any known allergies
to animals?Yes
No
If yes, to what kind(s) of animals?
Who will be responsible for the care of your pet?
Where will the pet be kept during the day?
Where will the pet be kept at night?
How many hours a day will the pet spend without human companionship?
Where will the pet be kept when alone?
Are you willing to have a Horse Creek representative visit
the pet's home? Yes
No
Why do you want a dog? (Check all that apply.)
House
Pet Guard
Dog Watch
Dog Companion
GiftCompany for
Other Pet
Other:
Do you have a fenced yard? Yes No If yes, how high is the fence?
How will you keep your dog confined to your property? (Check
all that apply.)
In
House Kennel
Fenced
Yard Patio
On Chain
Garage
On Leash
Do you realize you may have to housetrain your new puppy
or dog? Yes
No
What will you do if your dog chews furniture or shows other
destructive behavior?
Will you take your dog to obedience training classes? Yes No
List two people who would recommend to us that you adopt
one of our dogs. (List names, addresses & phone numbers.)
How did you hear about Horse Creek Wildlife Sanctuary and
Animal Refuge?
ANY COMMENTS OR SUGGESTIONS?
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