Saving the Homeless Animals of Cottonwood County, MN.
Donations Cottonwood County Animal Rescue (CCAR) 457 15th Street, Windom, MN  56101  Contacts Joanne: (507) 831-4110 Phyllis: (507) 831-2249
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Cottonwood County Animal Rescue
Cottonwood County Animal Rescue
Adoption Application Form
Cottonwood County Animal Rescue - Adoption Application Thank you for considering adopting a pet who needs a home! Please fill out this application as completely and accurately as possible. Your Name______________________________________ Home #___________________ Cell #____________________ Address_________________________________________ City ___________________State________ Zip__________ Pet’s Name____________________ Today’s Date_________________ Pet’s age ___________ Name, City and State of the Vet Clinic you are currently using _______________________ Are your pets up-to-date on their vaccines? _____________ Will this pet be part of your household? ____________ Who will be the pet’s primary caregiver? ___________ What is your reason for adopting a pet? ________________________________________ Emotional Support?_______________________________ How many children live in your household? _________ What are their ages?_____________________________________________________________ Have you ever adopted a pet from Cottonwood County Animal Rescue? Yes _______ No_______ Have you ever surrendered an animal to a rescue or shelter? Yes _______ No_______ If yes, please explain the circumstances ____________________________________________ If you are currently renting, do you have permission to have a pet? Yes________ Landlord’s name __________________________ Phone Number ________________________ Do you have any plans to move in the next six months? Yes_______ No_______ If yes, have you made plans for your pet?___________________________________________ If a situation should arise where you are unable to keep the animal in your home, you agree to contact CCAR to return the pet to us in order to find another home. This information is explained in more detail in the adoption contract. How many pets are living with you currently? ____ Dogs ____ Cats If you currently have pets, where are they kept? Inside_____ Outside______Both______ Where do you plan to keep this pet? Inside______ Outside______ Both_______ *Where will this pet be kept during the day? ________ *Where will this pet be kept nights? ______ *If adopting a dog, how will this dog be contained when outside? __________________ How many hours per day will this pet be alone? 0-4 hours____ 4-8 hours____ 8-12 hours____ 12 + hours_____ If adopting a dog that will be an outside dog, will this dog have protection from the weather and sun, such as a dog house or building? Yes______ No_______ Place of employment ________________________________________ Phone number of employer ___________________________________ If not employed, do you have the resources to care for this animal? Yes______ No_______ Please list two references: Name_________________ Phone #____________ Name______________Phone#_________