NO - KILL                                              
                                       SHELTER
NURTURE
                                       ADOPTIONS
RESCUE
                                        LOVE
NO-CAGES

          P.O. Box 2981 Murrells Inlet, SC 29576
                       (843) 685-2851
CLICK ON THE PETFINDER ICON ABOVE
TO VIEW OUR PETS AVAILABLE FOR ADOPTION

ONCE YOU FIND YOUR PET JUST RETURN HERE TO:
FILL OUT YOUR APPLICATION Below!
CLICK THE SUN TO READ AND FILL OUT THE ADOPTION AGREEMENT!
Coastal Animal Rescue
Adoption Application
In order to be considered for an adoption today, you must:
■ Be 21 years of age.
■ Have the knowledge and consent of all adults living in your household
■ Have a valid ID with current address
■ Have landlord's name and telephone number (or lease)
■ Understand that the Adoption Committee must approve your application
(based on the policies set by the board of directors.)
All information received through this form will be kept in strictest confidence. We are committed to your privacy and will not share any information with any other parties. All fields must be filled out. If you would rather print this form and either fax, mail or personally deliver the completed form just click HERE and wait for the Word Document to appear.
City:
ST:
Address:
Zip:
Home Phone:
Work Phone:
Age:
Email:
Name of pet applying for?:
How many hours will the pet be without human companionship each day?:
How many days each week?:
Choose where your pet be kept during the day?:
Choose where your pet will be kept during the night:
Do you plan to let your cat outside?:
What type of home do you have?:
Choose the type of home that applies to you:
If you rent landlord's name and contact information:
Does you landlord allow pets?:
Do you have a fenced yard?:
If fenced, please describe height and type:
Number of children:
Number of adults:
Children ages:
Is anyone in your family allerigic to animals?:
What will you do with your pets if you move in the future?:
How much do you anticipate spending yearly to feed, vaccinate, license and provide medical care for your pet?:
Would you be willing to allow a representative from the shelter visit your home before the adoption is completed?:
Name - 1
Type of Breed
Kept where?
Age?
Neutered?
Sex?
Still own?
Name 2
Age?
Neutered?
Sex?
Name - 3
Type of Breed
Kept where?
Age?
Neutered?
Sex?
Still own?
Name - 4
Type of Breed
Kept where?
Age?
Neutered?
Sex?
Name:
Deposit required?:
Type of Breed
Phone:
Do you realize that a dog of cat may live 15 or more years?
It may take your new pet two or more weeks to adjust to it's new home, especially if other pets are involved.  Are you prepared to allow this much time?
I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a pet.  I authorize investigation of all statements on this application.  I understand that this application is property of Coastal Animal Rescue.
Name:
Date:
Name:
Please provide the following information about your household:
What type(s) of pets do you own or have owned in the last 10 years?
Kept where?
Still own?
Still own?
Who is (was) your Veterinarian for the above animals?
If you do not have one, just put unknown
How do you plan to house train your dog?
A 501(C)3 ORGANIZATION
FOUNDED TO LOVE AND CARE FOR GOD'S ANIMALS THAT ARE IN NEED OF HELP.