960 N. Flag Chapel Rd.
Jackson, MS 39209
Pet Interested in:
(Person applying MUST be 21 yrs of age).
Occupation #2: Spouse's Place of Employment:
If this relationship were to change, whom would the pet remain with?
Do you have children? Yes No
Do they live with you? Yes No
Have they been around dogs? Yes No
Reasons for adopting?
What qualities you are looking for in a dog?
What, if any, concerns do you have about adopting?
Type of Dwelling:
The dog will be:
What outside space is available for the dog(s)?
No Fence/Open Space to Run
Fenced/Enclosed yard = Height
Locks on gates?
Outside Tie Out
Outside Dog Run
Where will the dog sleep?
Area(s) dog is NOT allowed?
PAST/PRESENT PET HISTORY (Past 10 years only)
Current pets in household: Dogs Cats Other -
(Please describe PAST and PRESENT animals)
Age of Pet
Age Pet Acquired?
Are your pets vaccinated? Yes No
Date of last vaccinations:
May CARA contact your vet? Yes No
How many hours per day on average will your dog be alone? O-4 4-6 6-8 8-1O 1O-12 12+
What provisions do you have to let the dog(s) out during the day while
you are gone?
Do you have a friend or relative who would care for the dog(s) if you became
incapable of caring for him/her for an extended period of time? Yes No
Please provide: Name:
CARA reserves the right to approve this individual, with no bias, for the
ultimate protection of the dog(s).
HOW do you plan on housebreaking your new dog?
(Please understand that even dogs that are housebroken will go through
an adjustment period)
Under what conditions would you NOT keep your new pet?
Grew too big
Move to a place that doesn't allow pets
Move out of state
Too much hair
Pets didn't get along
Wouldn't give up for any reason
ALL DOGS MUST BE RETURNED TO CARA SHOULD YOU NOT BE ABLE KEEP THEM!
If the dog(s) become destructive, what would you do?
Do you travel frequently? Yes No
Where will your dog(s) stay when you are on vacation?
Please briefly describe your lifestyle: (active, social, homebodies, etc)
How did you hear about CARA?
Referred by Someone
ADOPTIONS MAY REQUIRE A HOME CHECK AND/OR DELIVERY OF DOG(S).
I CONSENT TO THIS IN THE EVENT MY APPLICATION IS APPROVED:Yes No
Signature: Required on pick up
Providing false information will result in the nullification of this application.