Castle of Dreams Animal Rescue

Saving Lives... One Day At A Time...

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Until one has loved an animal, a part of one's soul remains unawakened.

- Anatole France

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By shopping on-line at cafepress you aid to our cause of assisting in rescuing more animals and saving lives....one day at a time.

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to Castle of Dreams!

We use Patented Kuranda Dog Beds because they are durable, chew proof and easy to clean. If you would like to donate a bed to us, click here.

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Support our shelter! Buy Frontline Plus and pet medications today!

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Adoption Application Form

Before filling out the adoption application, please note that we request a donation of $150 to $350 per pet adopted, which depends on the circumstances of rescuing the adoptable animal. This money is to help in the rescue effort and for veterinary care. Please realize that pets will need veterinary care throughout their lives, including yearly boosters, heartworm and flea/tick preventative medications, etc. If you cannot afford a donation, please consider if you can afford the appropriate veterinary care for the liftime of the pet. Thank You.

Please complete all sections of this Application Form COMPLETELY.
Failure to do so may disqualify you from adopting a pet.

After you have filled out all sections, click on the SUBMIT button below.
A message will appear letting you know that your application has been submitted.

Name of Animal you are interested in adopting :

If the particular animal you are applying for is not available, would you consider another pet from us?
Yes No

APPLICANT'S PERSONAL INFORMATION

Applicant's Full Name: * Required Field

Applicant's Complete Home Address: * Required Field

City: * Required Field

State: * Required Field

Zip: * Required Field

Applicant's Home Phone Number: * Required Field

Best Time to Call:

Applicant's Email Address: * Required Field

Re-enter Email Address: * Required Field

Please list place of employment for yourself and your spouse, if applicable.
Applicant's Occupation:
Name and Address of Employer:

Spouse's Occupation:
Name and Address of Employer:

Household Information:

Residence
House: Own or Rent
Condo: Own or Rent
Apartment: Own or Rent
Townhouse: Own or Rent
Trailer: Own or Rent
Other: Please specify:

If you rent, you must provide your landlord's contact information so that
we may verify that you are allowed a pet.

Do you have a yard and is it completely fenced in? Yes No

If yes, what type of fencing?

Is everyone in your household in agreement to adopting a pet? Yes No

Please list below all people who currently live at this residence:
Name: Relation to you: Age:
Name: Relation to you: Age:
Name: Relation to you: Age:
Name: Relation to you: Age:
Name: Relation to you: Age:
Name: Relation to you: Age:

Do you have any pet(s) currently?

List type, breed, age, & sex.

Are you sure your current pet will accept a new pet in the house?

Have you had other pets in the past?

What type of pet(s) did you have in the past?

How many years did you own the pet(s)?

Reason for no longer owning the pet(s):

If your last pet died what were the circumstances of his/her death?

Would you leave a pet unattended in the yard?

Where will you keep this pet? Please specify details?

What provisions will be made for your pet if no one is home during the day?

How do you plan on exercising the pet you plan on adopting?

What provisions will be made for your pet if no one is home during the evening?

What provisions will be made for your pet when you go on vacation?

How long have you been looking for a pet?

Where have you looked for a pet prior to contacting Castle-Of-Dreams?

Are you planning to change residence in the near future?

Please specify details.

Is anyone in your home allergic to animals?

If so, please specify details.

Do you understand that pets you adopt from Castle-Of-Dreams Animal Rescue
must spayed/neutered?

REFERENCES:

Veterinary Reference:

Name of Applicant's Veterinarian:
**If you do not currently have a pet/veterinarian**
**then list the name of any vets previously used**

Veterinarian's Address:

Veterinarian's Phone Number:

Veterinary Records under the name of:

Personal References:

Please provide names and phone numbers of two pet-owning references
(neighbors, friends, etc.). Relatives MAY NOT be used as references.

	Reference #1 Name:
	Relationship to Applicant:
	Address:
	City:
	State:
	Zip:
	Home/Evening Phone Number:
	E-Mail Address:

	Reference #2 Name:
	Relationship to Applicant:
	Address:
	City:
	State:
	Zip:
	Home/Evening Phone Number:
	E-Mail Address:

By signing below and submitting the application, I certify that I have read, understood, agree, and will comply with, the Castle-Of-Dreams Adoption Policy.

By signing below, I further certify that the information I have provided on this form is true, correct, and accurate.

I understand and agree that falsification of any of the above information is grounds to disqualify my adoption application and nullify all adoption(s) and/or adoption agreements between the applicant(s) and Castle-Of-Dreams.

Signature: By typing my name in the field, I am confirming that all information that I have provided is accurate.

Name: Date: