Friends of Beverly Animals

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http://www.friendsofbeverlyanimals.org/

Adopting a friend

Please complete the following adoption application to apply for ownership of one of our pets. The completed application can be mailed or emailed to us. It may take us a couple days to respond to your request. Keep in mind we will contact you for an interview and discuss with you if the animal you are interested is a good match for you or not. We appreciate your interest and will try to be in touch with you in a timely manner. Thank you! Adoption Application Form Applicantís Name: _________________________________________ Applicantís Contact Information: Address:_________________________________________________ City:__________________________State:________Zip:____________ Home Phone: _____________________Cell Phone: ______________ Work Phone: _______________________ May we call you at work? Yes / No E-mail: ____________________________ Applicantís Additional Information: Occupation: __________________________________ Do all the members of your family know that you plan to adopt? Yes / No Are you at least 18 years old? Yes / No If you are under 18, please provide the following: Guardianís Name: ________________________________________________ Guardianís Phone Number: ________________________________________ Do you own your home? Yes / No Note: If you are living with parents or relatives you are to be considered renting. Do you have a fenced yard? Yes / No If you rent or board, please provide the following: Landlordís Name: ____________________________________ Landlordís Phone Number: __________________________________ How many adults in your household? _________ Children? ________ If there are children, what are their ages? __________________________________ Is anyone in your house have any allergies to animals? Yes / No If Yes, please describe: ________________________________________________ Who will be the animalís primary caretaker? _________________________________ How many hours a day will your animal spend alone? _________________________ Where will your animal spend his or her days?________________________________ If the animal is a cat: Will your cat be allowed outdoors? Yes / No / Not Sure Will you declaw your cat? Yes / No / Not Sure If you move, will you take your pet with you? Yes / No / Not Sure Can you afford medical care, including yearly vaccination updates? Yes / No / Not Sure What will you do if your animal damages your furniture? ________________________________________________________________________________________________________________ What will you do if your animal bites or scratches someone? _______________________________________________________________________________________________________________ FOBA Adoption Application Ė Page 2 Applicantís Name: _________________________________________ Please provide information about all pets you currently have (please include the name, species and how long you have had the pet or pets): _______________________________________________________________________________________________________________________________________________________________________ Please provide information about pets you have had in the past (please include the name, species and how long you had the pet or pets): ______________________________________________________________________________________________________________________________________________________________________ Current Veterinarianís Name: __________________________________________________ Location:_____________________________________ Phone:_________________ Please provide 2 references (friends, neighbors, coworkers, etc.) These people should not be related to you and should have known you for at least 1 year. Name:______________________________ Phone:____________________________ Relationship:__________________________________________________________ Name:______________________________ Phone:____________________________ Relationship:__________________________________________________________ The information I have provided in this application is true. I understand that any misrepresentation of the facts may result in my losing adoption privileges. It is possible that the animal you are adopting has been exposed to canine and feline diseases that may not show symptoms immediately. There is even a chance that an animal can carry a disease that is transmittable to people. It is imperative that you make an appointment for your new pet with your veterinarian as soon as possible. I hereby release FOBA and its agents of any liabilities related to the adoption of this pet. Applicantís Signature: __________________________________________ Date: _____________________ FOBA reserves the right to deny any application without explanation. All decisions are final. FOBA Adoption Application Ė Page 3 FOBA OFFICE USE ONLY Applicantís Name: _________________________________________ Date:_________ Animalís Name/ID:____________________ Approved: _____ Denied: ______ Landlord: OK / NG Comments: _________________________________________ Ref #1: OK / NG Comments: _________________________________________ Ref #2: OK / NG Comments: _________________________________________ Vet: OK / NG Comments: _________________________________________ Name of FOBA representative completing this form: _________________________________

Come Visit Us!

Friends of Beverly Animals is a 501c3 organization dependant on volunteers, donations and foster homes. At this time we do not have a shelter for visiting our adoptable friends. Please contact us by mail, email or phone for additional information about our pets.
Friends of Beverly Animals
PO Box 3378

Beverly, MA 01915
Phone: 978 927-4157

Email: heidiroberts@comcast.net
Click here for a list of pets at this shelter



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