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ICARE ADOPTION APPLICATION
After filling the details click on the SUBMIT button.

* indicates required fields
ICARE ID NO.:
*ANIMAL'S NAME:
*YOUR NAME:
*STREET ADDRESS:
*CITY/STATE/ZIP:
*HOME PHONE:
*WORK PHONE:
*CELL PHONE:
*EMAIL ADDRESS:
*DO YOU LIVE IN A: HOUSE
APARTMENT
DUPLEX
CONDO
MOBILE HOME
OTHER
*DO YOU OWN OR RENT?: OWN
RENT
*HOW LONG HAVE YOU LIVED AT THIS ADDRESS?:
*IF RENTING, DO YOU HAVE LL'S PERMISSION TO ADOPT?: YES
NO
N/A
*LANDLORD'S NAME:
*LANDLORD'S PHONE::
*WILL THIS PET BE KEPT: INSIDE
OUTSIDE
BOTH
*WHEN OUT, HOW WILL IT BE PROTECTED?: FENCED-IN YARD
KENNEL
DOG HOUSE
TIED/CHAINED
OTHER:
*HOW WILL PET BE EXERCISED?:
*HOW MANY HOURS WILL PET BE LEFT ALONE EACH DAY?:
*LIST HOUSEHOLD MEMBERS & AGES::
*IS ANYONE ALLERGIC TO ANIMALS IN HOME?: YES
NO
*DOES EVERYONE AGREE TO THIS ADOPTION?: YES
NO
*LIST OTHER PETS YOU HAVE & AGES:
*ARE ALL YOUR PETS CURRENT ON VACCINATIONS?: YES
NO
*ARE YOUR PETS ON HEARTWORM PREVENTATIVE?: YES
NO
*YOUR VETERINARIAN'S NAME & PHONE:
*WHY WOULD YOU LIKE TO ADOPT THIS ANIMAL?: