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Adoption Application
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There is a $5.00 application fee required to help cover the cost of care for our cats and dogs looking for a new home. This fee is not refundable and does not guarantee any adoption. Adoptions are not first-come-first-serve, but are based on the best fit for an animal’s particular needs. Please notify your Veterinarian of your application and give them permission to release information to us. Failure to do so may result in our inability to process your application
Are you 21 years of age or older?
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Yes
No
All applicants must be 21+ years of age to adopt a pet. ID required.
I am interested in adopting a:
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Dog
Cat
Name of Animal
Have you previously met this animal?
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Yes
No
Either in-person at the shelter or an off-site adoption location
How did you hear about Voorhees Animal Orphanage?
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Word of mouth
Online/Google search
Facebook/Social Media
Petfinder/Adopt-A-Pet
Event/Fundraiser
Email/Mail newsletter
Walk-in/Drove-by
Please choose one
Name
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First
Last
Address
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Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
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Phone Number
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Join our mailing list?
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Yes
No
Place of Employment
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Residential Status
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Own
Rent
Landlord's Name
First
Last
Landlord's Phone Number
Length of time at current address
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Housing Type
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House
Condo
Apartment
Mobile Home
Dorm
Military
Other
Please choose one
Why are you interested in adopting at this time?
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How much experience do you have caring for this type of pet?
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No experience, but excited to learn!
Some experience, I've had a pet or two before.
Lots of experience, my friends and family consider me an expert!
Please choose one
How much experience do you have providing veterinary care for this type of pet?
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No experience, but excited to learn!
Some experience, I have a veterinarian I can call.
Lots of experience, I am comfortable giving medication and love my vet!
Please choose one
Do you currently have a veterinarian?
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Yes
No
To help expedite the review process, please call your veterinarian in advance to give them permission to discuss your records.
Veterinarian - PLEASE notify your vet and give them permission to release information to us. Failure to do so may result in our inability to process your application.
Clinic and/or name of doctor
Veterinarian's Phone Number
How would you describe your household?
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Very quiet, a few residents but not too many guests.
Average, not too quiet or too noisy.
Very busy, lots of people coming and going!
Please choose one
Homeowner's Name
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How many people live in your household?
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What are the ages of the people that live in your household?
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Do you currently have any pets?
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Yes
No
Please list the names, and species, of the animals currently living in your house:
Include name, species (dog/cat/other), breed, gender, age, neutered/spayed.
Please list the names of any animals that have lived in your household but are now deceased:
Include name, species (dog/cat/other), breed, gender.
Is anyone in your home allergic to animals?
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Yes
No
Please explain allergies:
Have you ever surrendered an animal?
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Yes
No
Please explain surrendering:
If anything should happen to yourself as the owner, can arrangements be made to care of your pet?
Please let us know what arrangements can be made to care for your pet, either for a short period of time or the duration of their life.
What energy level are you looking for in a dog?
High Energy (lots of exercise and play)
Medium Energy (daily walks, moderate exercise)
Low Energy (senior or couch potato, yard time is sufficient)
Please choose one
What qualities are you looking for in a dog?
What are your plans for your pet when you're gone during the day/night?
How will you exercise your dog? What activities will you do with your dog?
Do you have a fenced-in yard?
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Yes
No
How high is the fence?
What energy level are you looking for in a cat?
High Energy (young cat that needs lots of playtime)
Medium Energy (some playtime and naps)
Low Energy (calm, mature cat that spends a lot of time napping and snuggling)
Please choose one
What qualities are you looking for in a cat?
Are you willing to learn how to train your cat?
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Yes
No
Do you plan to de-claw your cat?
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Yes
No
Will you allow your cat to go outdoors?
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Yes
No
Agreement
By hitting the "submit" button below, you are indicating your understanding and acceptance of the following:
Adopting an animal is a long-term personal and financial commitment, often years in duration, and a very serious undertaking.
Pets must be licensed with your town annually, wear a collar and tags at all times, and kept up-to-date on all vaccinations.
Shelter animals may have unknown medical conditions. Upon adopting an animal, you are responsible for taking it to your veterinarian for a check-up within 7 days. Necessary treatment and costs associated with its care and keeping are your responsibility.
You may return an animal within 7 days if a previously unknown medical condition is documented by your veterinarian.
You may return an animal at any time if your circumstances change and caring for the animal is no longer possible.
I certify that the information I have provided on this application is complete and accurate. I hereby authorize the release to the shelter of pertinent information regarding employment verification, proof of tenancy, and veterinary records and references. I understand that false information provided on this application or in person will terminate the adoption process. I understand that Voorhees Animal Orphanage reserves the right to deny an application for adoption at any time.
Application Fee: $5.00
Adoption Application Fee
*
Payment Method
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Credit Card
Paypal
Stripe Credit Card
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Card
Name on Card
Message
Submit Application
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