Adoption Application

ADOPTION APPLICATION

Please fill out and submit the following application for the pet(s) you are interested in. There is no obligation to adopt after being approved and meeting the pet, but please understand that we are all volunteers and would like to schedule appointments with serious adopters only. The pet will be available to adopt and take home at your meeting, if everyone agrees it is a good fit.

We do verify all information, so please fill out the application completely and accurately. Applications not completed fully or truthfully will be discarded.

If you are going on vacation, please wait and fill out your application upon your return because our pets are met on a first come, first serve basis for approved adopters. We do not hold pets and, please note, your application may not be the only one for the pet you are interested in.

REQUIREMENT: All dogs adopted from Brookes Legacy Animal Rescue (BLAR) need to complete basic obedience with a trainer of your choice and location. If you are unable to make this commitment, then please do not apply.

*CASH* *CASHIERS CHECK* *MONEY ORDER* *PAYPAL*
We are not able to take credit or debit cards

Applicant Information
Pet Name or type of animal
How did you find us?	Adoption Event Petfinder.com AdoptaPet.com Newspaper Other
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Age:
Occupation:
Co-Applicant Information
First Name:
Last Name:
Age:
Occupation:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Property Information
Property Type:
Own or Rent	WE DO VERIFY OWNERSHIP and/or RENTAL INFO
Landlord Name & Phone No.:
More Information about Yourself
Names & Ages of other household members:
Names and Ages of all pets in household:
	NOTE: We do verify vaccination records and heartworm preventative of existing pets in household
Veterinarian Name, Clinic and Phone Number:
Frequent visitors of children under 10?
Hours pet alone and alone location:
Please list any pet(s) you have owned in the past and explain what happened to him/her:
2 or more References Names and Phone Numbers:
	I certify that the information I have given above is true and correct, and I hereby authorize BLAR to contact the listed veterinarian, landlord, and references. I also understand that if I adopt a pet from BLAR, that my adoption contribution is non-refundable.
Sign Your Name: *

Content copyright . Brooke's Legacy Animal Rescue. All rights reserved. We are a 501(c)3 organization.

Registration #CH22035 A copy of the offical registration and financial information may be obtained from the division of consumer services by calling toll free (800-435-7352) within the state. Registration does not imply endorsement, approval, or recommendation by the state.