Pre-Adoption Form for Oreo's Animal Rescue
	Description of Animal
	Pet you would like to adopt:
Information About You

Name:		Home Phone:
Address:		Work Phone:
City/State/Zip:		Cell Phone:
		E-mail:

Please List Two (2) References we may contact:

(1) Name:		(2) Name:
Address:		Address:
City/State/Zip:		City/State/Zip:
Home Phone:		Home Phone:
Work Phone:		Work Phone:
Cell Phone:		Cell Phone:

Do you live in a: House Apartment Condo Other
Do you have a fenced yard?	Yes No
If yes, what height is it?
Do you have any children in the home?	Yes No
If yes, what are their ages?
Do any members of your household have allergies?	Yes No
What pets have you had in the past, if any?
Where are they now?
Do you have pets in your household now?	Yes No
If so, what type and quantity?
What are their ages?
Are they spayed or neutered
Are their vaccinations current?
Are they currently licensed?
If dog(s), what breed(s) are they?
If cat(s), are they kept indoors, outdoors, both?
If cat(s), are they declawed?

Do you own or rent your home? OWN RENT

If you rent or live in a trailer court, complete the information below:

Land Lord/Court Manager/Owner:

Name:		Home Phone:
Address:		Work Phone:
City/State/Zip:		Cell Phone:
		E-mail:

Veterinarian You Use:

Name:

Phone:

By checking the box to the left and submitting this form, you agree to the following conditions: You give Oreo's Animal Rescure permission to review your pre-adoption application, contact necessary references and contacts to verifiy accuracy of all given information. By submitting this form, implied ability to adopt a pet is NOT granted .