[Township of Franklin, NJ] Animal Adoption Application

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Full Name

Cell Phone

Home Phone

Driver License # *

State Issued *

Are you employed?

Yes

Place of Employment

Work Phone

How did you hear about Franklin Township Animal Shelter?

What kind of animal would you like to adopt?

Why do you want to adopt an animal?

RESIDENCE

Do you own your own residence?

Yes

Do you rent?

Yes

Landlord's Full Name

Landlord's Phone Number

In what type of housing do you reside?

How long have you been at this residence?

HOUSEHOLD MAKEUP

Number of People in Household

Adults *

Children *

Ages of Children *

Does anyone in your household have allergies now or in the past to animals?

Yes

Unkniwn

CURRENT PETS

Do you currently have other pets?

Yes

What kind of pets do you have?

Quantity of each pet

Are your pets spayed/neutered?

Yes

Please indicate why not.

How will you introduce your new pet to your current pets?

What will you do if your current pet does not get along with the new pet?

Provide name and phone number for your veterinarian

Name *

Number *

PAST PETS

Have you ever owned a pet in the past?

Yes

What kind(s) of pets have you owned in the past?

What happened to your past pet?

When and from what?

With whom and why?

Please explain

Reason Surrendered?

Reason Euthanized?

Please explain.

New Pets

Who will be responsible for the care of the new adopted animal?

How many hours will the new adopted animal be left at home alone?

Where will the new adopted animal spend the majority of his/her time?

Where Inside?

Where Outside Home?

Explain

Since most animals have unknown backgrounds, are you willing to take your new pet(s) for complete veterinarian exam within 7 days of this adoption and provide any necessary treatment at your expense?

Yes

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

With my signature I certify that the statements on this application are true and accurate to the rest of my knowledge.

The Franklin Township Animal Shelter Reserves the right to refuse any adoption.

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