Mutt Misfits Adoption Application Thank you for wanting to adopt. Pleas fill out this form and someone will be in contact with you shortly regarding your adoption application. Name *Your full legal nameEmail Address *Double check your spelling and watch your inbox and spam for an E-mail response from muttmisfitsadoptions@yahoo.comPhone NumberIs this a cell phone?YesNoStreet AddressCityState/ProvinceZIP / Postal CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweWhat is the name, approximate age, and breed of the animal you are interested in?0 / 180where did you meet/see this pet?0 / 180What energy level is a good fit for your household?LowMediumHighSomewhere in between (explain below)What qualities are important for you and your family when looking for an animal to adopt?0 / 180Household InformationDo you own or rent your home?OwnRentIf you rent, please provide the name and phone number for your landlord:0 / 180Please list the names and ages of all the people, both adults and children, and the children’s ages, who live in your residence: 0 / 180Animal Care InformationDo you have a fenced yard?YesNoIf not, where will your pet be able to relieve itself and get exercise?0 / 180How many hours per day will you be able to supervise your pet? (We aren’t crazy enough to expect your pet to be by your side 24 hours a day, don’t worry!) 0 / 180Where will your pet be when you are unable to supervise him or her? 0 / 180Where will the animal sleep?0 / 180Animal ExperiencePlease list all the pets you've had in the past five years.Animal OneBreed or Animal Type0 / 180Spayed or Neutered?YesNoIf not, why?Number of years ownedStill with you?YesNoIf not, why?Add another petYesNoAnimal TwoBreed or Animal Type0 / 180Spayed or Neutered?YesNoIf not, why?Number of years ownedStill with you?YesNoIf not, why?Add another petYesNoAnimal ThreeBreed or Animal Type0 / 180Spayed or Neutered?YesNoIf not, why?Number of years ownedStill with you?YesNoIf not, why?Add another petYesNoAnimal FourBreed or Animal Type0 / 180Spayed or Neutered?YesNoIf not, why?Number of years ownedStill with you?YesNoIf not, why?All pets take a week or two to learn a new environment. When adopting a pet, you must be patient with its needs, including bathroom breaks. Do you have experience housebreaking puppies or adult dogs? If not, are you open to helping your pet learn the rules?0 / 180We highly suggest kennel training a newly adopted pet, at least throughout the initial transition period of moving to a new environment. Are you comfortable with kennel/crate training pets?0 / 180When bringing an animal into a new environment, it is imperative to slowly and carefully introduce said animal to all members of a household, both animal and human. Do you have experience introducing new animals to new people, places and other pets? If not, have you researched, or will you agree to research information on pet introductions? 0 / 180Many of the pets in Mutt Misfits program have special needs, which will be disclosed with you during initial contact. Have you ever owned a special needs animal before?YesNoPlease DescribeIf not, are you open to learning about your new foster pet's special needs?Please InitialOnce an animal is adopted, Mutt Misfits releases financial responsibility of medical care to the adopter. Do you agree to these terms?0 / 180While each animal Mutt Misfits brings into its rescue program passes behavior evaluations, we are not able to make any guarantees about the temperament of any animal. Do you agree to hold harmless Mutt Misfits and any of its Directors, Volunteers, or Medical Associates?0 / 180Mutt Misfits specializes in saving animals with major medical needs, primarily due to illness, injuries, or advanced age. Despite our best efforts, we are unable to guarantee the health, future health, or future medical complications of any animal. Do you understand this?0 / 180*Our goal is to place animals into appropriate, loving and stable foster and forever homes. We ask that, if for any reason, you do have to return your pet to Mutt Misfits, you contact us immediately for return. We also ask you are patient while we find a new foster home for your pet. Without an actual shelter facility, we rely solely on our Volunteers and Foster Homes to house our pets.0 / 180SignatureDate
