©Silver Linings Application for Adoption

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All applicants must 20 years old to adopt from Silver Lining Services, Inc. We do not approve families based on "first come, first serve" basis.

Email *

Date: *

YYYY

Name or type of pet you want to adopt: *

Your name: *

Address (Include City, State and Zip): *

Phone: *

Employer or Type (SSD, SSI, etc.): *

Number of people living in the home: *

Number of children living in the home: *

Ages of children in the home, if applicable:

List the pets you have in your home now:

List the pets you have had within the past 5 years, not including the ones listed above:

Are all your current pets spayed and neutered? *

YES

No animals in the home

Name and phone of current vet or last seen within the last 5 years (enter "no pets" if you have never had a pet): *

Name and phone number for personal reference, not in the household #1: *

Name and phone number for personal reference, not in the household or relative #2: *

Type of residence: House, Apartment, Condo, Mobile Home, Farm, OTHER: *

Do you rent, own or OTHER: *

RENT

OWN

OTHER

If you rent or "other", provide the name and phone of property owner:

Where will your new pet be during night time? *

Where do you plan to keep your new pet? *

Where will your new pet be while no one is home? *

If you must move, what will you do with your new pet? *

Have you ever been charged or alledged of Animal Creulty or similar acts against any animal? *

YES

I hearby give permission for Silver Lining Services, Inc. to verify my information by providing my eSignature below: *

A copy of your responses will be emailed to the address you provided.

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