APPLICANT ADOPTION INFORMATION
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NAME: ADDRESS: HOME PHONE: MOBILE PHONE: EMAIL ADDRESS: HOUSING INFORMATION DO YOU LIVE IN A HOUSE OR APARTMENT? DO YOU OWN OR RENT? IF YOU RENT, DO YOU HAVE YOUR LANDLORD’S PERMISSION TO HAVE PETS? PLEASE LIST YOUR LANDLORD’S NAME/ADDRESS/PHONE HOW LONG HAVE YOU LIVED AT THIS ADDRESS? HOUSEHOLD INFORMATION ARE THERE CHILDREN IN THE HOUSEHOLD? DO YOU HAVE CHILDREN THAT VISIT FREQUENTLY? AGE AND GENDER OF CHILDREN (IN THE HOUSE AND VISITING) HOW MANY HOURS PER DAY DO YOU ANTICIPATE THE SPHYNX BEING LEFT ALONE? DURING THAT TIME, WHERE WILL THE SPHYNX BE? ARE ALL MEMBERS OF YOUR HOUSEHOLD IN AGREEMENT IN REGARDS TO THE ADOPTION OF THIS SPHYNX AND THEIR CARE? WHO WILL BE PRIMARILY RESPONSIBLE FOR THE CARE OF THIS SPHYNX? DO YOU OWN ANY OTHER PETS? (REPTILES, RODENTS, AMPHIBIANS, BIRDS, ETC) HOW MANY PETS HAVE YOU OWNED IN THE PAST? IF YOU DO NOT STILL OWN THE PETS, PLEASE DESCRIBE WHAT HAPPENED TO THEM. PLEASE BE SPECIFIC (DIED OF OLD AGE/DISEASE, GAVE AWAY, ETC). HAVE YOU EVER HAD TO GIVE UP A PET? PLEASE DESCRIBE THE SITUATION: SPHYNX SPECIFICS HAVE YOU EVER OWNED A SPHYNX? WHY DID YOU CHOOSE THIS BREED? ARE YOU OPEN TO ADOPTING A SPECIAL NEEDS SPHYNX? Yes_____ or No _____ PREFERENCE ON SEX, COLOR OR AMOUNT OF HAIR? Male _______ Female _______ No Preference ________ DO YOU UNDERSTAND THE GROOMING RESPONSIBILITIES ASSOCIATED WITH OWNING A SPHYNX (BOTH PHYSICALLY AND FINANCIALLY)? Yes _____ or No ______ IF YOU ALREADY OWN A SPHYNX, PLEASE LIST WHAT YOU DO DAILY AND WEEKLY TO GROOM YOUR SPHYNX: WHERE WILL THE SPHYNX SLEEP? VETERINARIAN INFORMATION DO YOU HAVE A REGULAR VETERINARIAN? Yes ____ or No _____ IF SO, PLEASE PROVIDE CONTACT INFORMATION FOR YOUR VETERINARIAN (NAME, ADDRESS, AND PHONE-WE WILL CHECK THIS REFERENCE). ARE YOUR CURRENT (OR PAST) PETS TAKEN FOR REGULAR VET CARE ON A YEARLY BASIS? THIS INCLUDES A PHYSICAL, ALL REQUIRED SHOTS, AND TESTING? Yes____ or No ____ PERSONAL REFERENCES PLEASE PROVIDE 2 PERSONAL REFERENCES (ONE MAY BE A RELATIVE) Name: __________________ Number: ________________ Name: __________________ Number: ________________