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Adoption Application

We are located in Sunbury, PA, and are not affiliated with any other Mostly Mutts animal rescues.

Adoption Process PDF
Adoption Application PDF

Name(Required)
Email(Required)
Address(Required)
PLEASE NOTE: PLEASE MAKE SURE YOUR VETERINARIAN & REFERENCES ARE AWARE THAT WE WILL BE CONTACTING THEM. VETERINARIANS ESPECIALLY PREFER NOT TO RELEASE INFORMATION WITHOUT THEIR CLIENT’S CONSENT. THIS INFORMATION IS IMPORTANT AND WITHOUT IT CAN HOLD UP THE ADOPTION.
Are you adopting for:(Required)
Do you own/rent:(Required)
Owners, who pays the mortgage?(Required)
Do you care for other children in your home?(Required)
Is part of your yard completely fenced in?(Required)
Is there a doggie door?(Required)
Do you work:(Required)
Have you been denied by another rescue?(Required)

Pet Experience

Do you have other pets?(Required)
Are your dogs and/or cats current on vaccinations? (All pets must be current on vaccinations unless there is a medical reason for not doing so.)(Required)
Are your dogs and/or cats spayed/neutered? (All pets must be spayed or neutered unless there is a medical reason for not doing so.)(Required)
Are your dogs and/or cats on heartworm preventative?(Required)
Are your dogs and/or cats on flea/tick preventative?(Required)
Name and phone numbers of vet office/vet offices (where you go now or in the past)(Required)
Vet Office Name
Vet Office Number
 
PLEASE MAKE SURE YOUR VET INFORMATION IS COMPLETE AND CORRECT SO THAT WE CAN VERIFY THAT YOUR PET(S) ARE SPAYED/NEUTERED AND THAT THEIR VACCINATON RECORDS ARE UP TO DATE. THIS MAY MEAN LISTING MORE THAN ONE VET IF YOU HAVE GONE TO MORE THAN ONE. PLEASE NOTIFY YOUR VET(S) THAT WE WILL BE CALLING AS THIS CAN HOLD UP THE ADOPTION PROCESS
Have you ever completed a dog obedience course?(Required)
Have you ever surrendered an animal to a shelter?(Required)
List all companion animals you currently have and have had in the past 10 years:
NAME
BREED
AGE
YEARS WITH YOU
WHERE IS IT NOW?
 

Your New Pet

How long have you been looking for a new pet?(Required)
Reason for adopting(Required)
Were your previous pets(Required)
Are you planning on using a crate?(Required)
Under what circumstances would you return this animal?(Required)
If bad behaviors occur, how likely are you to hire a professional trainer?(Required)
Are you ready to care for a dog for up to 15 years?(Required)
Please enter a number from 1 to 10.
Because we do not know you, we must check references (Required)
PLEASE NOTE: PLEASE MAKE SURE YOUR VETERINARIAN & REFERENCES ARE AWARE THAT WE WILL BE CONTACTING THEM. VETERINARIANS ESPECIALLY PREFER NOT TO RELEASE INFORMATION WITHOUT THEIR CLIENT’S CONSENT. PLEASE NOTIFY YOUR VET(S) THAT WE WILL BE CALLING AS THEY NEED YOUR PERMISSION TO GIVE US INFORMATION. FAILING TO DO SO MAY HOLD UP THE ADOPTION PROCESS.
AS OF 11/21/2016 ADOPTION FEES ARE AS FOLLOWS: Dogs Over 60 lbs.: FEMALES: $175.00 MALES: $150.00 Dogs Under 60 lbs.: FEMALES: $150.00 MALES: $125.00 PURE BREED dogs/puppies price to be determined MIXED BREED puppies under six months: $100.00 SENIOR DOGS aged 8 and over: $100.00 (Puppies under (6) six months of age must be spayed or neutered at your expense at (6) six months of age and a contract signed stating that you agree to do this.)
Do you agree to a HOME VISIT?
Mostly Mutts, Inc. appreciates your patience and understanding throughout this application procedure. Please understand our goal is to make sure these animals are placed in only the best homes. Please read the following and sign below. MOSTLY MUTTS, INC. HAS THE RIGHT TO REFUSE AN ADOPTION FOR ANY REASON! THE RESPONSIBILITY OF MOSTLY MUTTS, INC. IS IN THE BEST INTEREST OF THE ANIMAL. I certify that the above information is true. I understand and agree that this adoption placement is conducted solely for the purpose of providing long-tem care for the adopted animal (s). Should a representative of Mostly Mutts, Inc. ask to see the animal (s), reasonable access will be granted. If it is determined that the animal (s) are not properly cared for, the animal (s) may be reclaimed by Mostly Mutts, Inc. Further, I agree to pay any reasonable expenses, including legal fees that may be incurred by Mostly Mutts, Inc., in the event that the adopted animal (s) placed into my custody are reclaimed by Mostly Mutts, Inc. because of neglect or abuse of said adopted animal (s). This application remains the property of Mostly Mutts, Inc. A fully executed contract completes this adoption.
Signature(Required)
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