Whispurring Hope Rescue
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Pre-Approval Application
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Indicates required field
Applicant #1 Name
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First
Last
Applicant #2 Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Phone Number
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Reference #1 Name
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Phone Number
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Reference #2 Name
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Phone Number
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Do you rent or own your home?
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Rent
Own
Other
If other, please explain.
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If you rent, please provide your Landlord's information below
Landlord's Name Type N/A if it applicable
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Phone Number Type 0's if not applicable
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Does your lease allow for pets?
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Yes
No
Unsure
Please provide the information for the Veterinarian you currently visit or will visit.
Vet Office Name
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Name of animal you are interested in?
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The animal I am interested in is a {please choose one}?
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Dog
Cat
Other
If other, please explain
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Why do you want a pet?
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Does everyone in the home want a pet?
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Number of adults in the home?
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Number of childen in the home?
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Ages of children in home
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If you have other pets in the home, please list names, ages and species
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Are all animals in the home altered?
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Yes
No
If no, do you plan on having them altered?
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Yes
No
Where will you keep your new pet? No pets housed outside of family living quarters, no puppies adopted as outside farm dogs.
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How much quality time do you spend/plan to spend with your pets?
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Where will you keep your pet while you are away?
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Please complete the following if you're adopting a dog.
Do you have a fenced yard? Most adoptions require this.
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Yes
No
How often will you walk your dog?
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Please complete the following if you're adopting a cat.
Do you plan to declaw your cat?
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Yes
No
Please complete the following questions
Do you have the means to support an animal?
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Yes
No
Are you commited to caring for this animal for its life time?
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Yes
No
You agree to return the animal to us at any age if you are unable to care for it.
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Agree
Disagree
You agree to notify us if this animal is ever to be euthanized for any reason and we will help in determing if this is what is best for the animal? If we decide it is not, then we have the right to re obtain ownership of the animal.
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Agree
Disagree
Adopted animals must be seen by your veterinarian with 7 days of adoption and a report must be sent to Whispurring Hope Rescue.
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Agree
Disagree
If the animal is under the appropriate age to be spay/neutered, you must make an appointment for the animal at OUR vets office, Animal Health Clinic in Dyersville, IA. More details regarding spay/neuter are provided in our Adoption Agreement.
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Agree
Disagree
Full Name (This will act as your Signature)
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Date
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Submit
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