Adopt | Brown Co. Animal Rescue

Meet our Adoptable Pets!

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First name

Last name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

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Family Housing - Own or Rent?

How many people are in your home? Ages?

Please describe your household - Active, Noisy, Quiet, Average?

Does anyone in the family have a known pet allergy?

Other Pets - List all and specify type and if indoor or outdoor

Are these pets up to date on vaccinations - Yes or No, if No do they have a vet appointment set-up?

Are these pets spayed/neutered?

If you have a dog, how many months of the year are they on heartworm prevenative?

If you have a dog, do you test them yearly for heartworms?

If you currently have a dog or cat, how many months of the year are they on flea/tick preventative?

Have you or a member of your household surrendered a pet to a rescue or shelter for any reason?

Have you or a member of your family given a pet away online (i.e. Facebook or Craigslist)

Have you or a family member given a pet away to a friend or family member?

Do you agree to keep this pet primarily indoors?

When the pet goes outside how will you supervise it? Fenced yard? Electric Fence? Dog pen? Etc.

Do you have a regular veterinarian? If no, but have had pets in the past, please list previous veterianrian.

Vet Clinic Name, Address & Phone Number

Professional Reference, Relationship to You, Phone Number

Do you agree to contact BCAR if you can no longer keep this animal?

How did you hear about us?

Anything else you'd like us to know?

Your Signature

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