Exotic Animal Adoption

Animal's Name

Your Name

Your Age

Address

Address 2

City

State

ZIP Code

Preferred Phone Number

Alternate Phone Number

Are you the home owner or primary lease holder? If no, we can’t accept application unless head of household is present.

Have you had this species before?

Have you had any pets in the last 5 Years?

Complete the information about ALL of the pets you have had in the past 5 years, including current pets

Type/Breed

Age

Sex

Licensed

Where is the pet now?

Do you have a second pet?

Type/Breed

Age

Sex

Licensed

Where is the pet now?

Do you have a third Pet?

Type/Breed

Age

Sex

Licensed

Where is the pet now?

Do you have a fourth pet?

Type/Breed

Age

Sex

Licensed

Where is the pet now?

Do you have a fifth pet?

Type/Breed

Age

Sex

Licensed

Where is the pet now?

What is the reason for wanting to adopt this animal? (Check all that apply)

Personal/family companion

Companion for other pet

For children

Gift

Do you live in a:

Do you:

Landlord Name/Number Note: Staff will contact landlord

Are you prepared to pay any required pet deposits or pet rent?

If you move (locally, out of state, or out of the country) what will you do with this animal?

How many adults are in your household?

What are their ages?

How many children?

What are your children's ages?

Has every member of your household agreed to adopt this animal? If this has not been discussed at great length, please complete application when that has occurred.

Does any member of your household have pet allergies or asthma?

What is the activity level in your household (including yourself)?

The animal will spend its time: (check all that apply):

Inside

Outside

Patio

Balcony

Garage

Other

What type of housing do you plan on keeping this animal in?

Where will this animal be kept when it is left alone?

Where will this animal be kept when you are at home?

Who will care for this animal when you are on vacation or out-of-town?

Are you familiar with a animal's diet?

Are you prepared to make a commitment to this animals lifespan?

Have you ever had to give up a pet?

If your animal gets sick, what will you do?

Many animals other than dogs and cats are considered an “exotic” animal by veterinarians. Are you willing to find an exotic animal veterinarian for this animal?

Do you have a current veterinarian?

Have you adopted any animals from Mission Viejo Animal Services before?

Have you completed an application to adopt an animal from our shelter in the past 12 months?

Your application will be reviewed along with all others received by Animal Services personnel to ensure that the best home possible is selected for this animal. Animals are NOT adopted solely on a first come– first served basis.

Incomplete applications forms are grounds for denial of adoption.

We Reserve the Right to Refuse the Adoption of any Animal.

I hereby certify that the above answers are true, to the best of my knowledge, and I understand that if approved, I must sign and abide by an Adoption Agreement.

Your Signature

Sign above

Complete the information about ALL of the pets you have had in the past 5 years, including current pets

MV Life