| 1. Would you take a
special needs animal? If so which Special needs case would be ok for
you? |
|
| A. No use/With
Medication needs: |
|
| B. No use/Without
Medication needs: |
|
| C. Usable/With
Medication needs: |
|
| 2. Weather Conditions
in your area. Highest temp approx - Lowest temp approx: |
|
| 3. What preferences do
you have if any in Sex, Color, or Type of animal? |
|
| 4. Size best between
what and what? |
|
| 5. Price range? We need
to keep prices low, but sometimes we may not have a choice. |
|
| 6. What type of shelter
do you have available?
|
|
| 7. If we needed to
would you have two references we could contact about your adoption
request? |
|
| 8. Would you agree that
the rescue relay group could stop in and see how you and your new baby are doing
for the first year? Not saying that we will, but would this be a problem? If
yes, could you please explain why?
|
|
| 9. Your full
name: |
|
| 10. Your full mailing
address: |
|
| 11. Your phone number?
Only necessary when we are into the delivery part. |
|
| 12. Would you like to
help out with transportation?:
|
|
| 13. Would you like to
help out with layovers?:
|
|
| 14. Would you like to
help out by fostering?:
|
|
| 15. Would you like to
help out with a donation?
|
|
| **** |
|
| **** |
|
| Additional
Notes/Comments: |
|
