RESCATE EN MARTE - MARS RESCUE Mac OS

Let’s bring these local pets home, they need your love and affection. We promise you they will return the favor.

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Here at Mars Rescue have developed a personal pet adoption form that helps us identify pet owners that fit our requirements for adoption. Please fill out the form below and submit it for review.

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Adoption Application

Dog Information Please fill out all information you know on the dog you are interested in. If you do not have a particular dog in mind, then please insert general descriptions of the type of dog you are looking for.

Pet Name:

Breed:

Age:

Gender Male Female

Requirements & Qualifications

All potential adopters and foster homes are screened for suitable placement of animals. MARS reserves the right to refuse placement of an animal for any reason.

  • You must be 21 years of age or older and have identification showing your present address
  • You must have the consent of all adults living in the household.
  • You must have the consent of your landlord if you rent your residence and proof of pet deposit.
  • our pets must have current vaccinations and be free of contagious illnesses and be spayed or neutered.
  • You must be able and willing to spend the time necessary to provide/administer proper training, medical treatment, and care for the pet.
  • You must agree that any damage done to your home by the pet is NOT the responsibility of MARS Inc.

Conditional Yes No

If yes, explain condition(s):

Trial Expiration Date:

Personal Information

Name:

Home Phone Number:

Work Phone Number:

Cell Phone Number:

Address:

Apt#:

City:

State:

Zip Code:

Email Address:

Drivers License (State & Number):

Employer:

Employer Contact Number:

Additional Information

Please select all that apply:
Own Home
Rent Home
Live with Parents
Military
Student - Full Time
Student - Part Time

Please choose housing type:

Do you have a fence? Yes No

Type of Fence:

Height of Fence:

Number of Adults in Household:

Number of Children in Household:

Ages of Children:

How much time are you gone?

How long at current address (years & months)?

Do you plan to move in the next 12 months? Yes No

Are you willing to purchase a crate of needed? Yes No

Do you have a pet door? Yes No

Will you take this pet to obedience class? Yes No

Do you travel frequently (more than 5 days per month)? Yes No

Do all the adults in the household consent to the adoption of this pet? Yes No

Do you give MARS permission to do a home check prior to adoption? Yes No

This section is for Renters Only Does your landlord allow pets? Yes No

Is a there a wight or size limit? Yes No

Maximum Size: inches

Maximum Weight: pounds

Is a deposit required? Yes No

If yes, how much?

If yes:

Can proof of the deposit be obtained from your landlord? Yes No

Name of apartment complex or landlord:

Contact number of apartment complex or landlord:

Veterinarian Information

Name of clinic:

Name of veterinarian:

Location of clinic:

Phone number of clinic:

Do you give MARS permission to contact your veterinarian prior to adoption? Yes No

Does anyone in your household have any known allergies to:

Dogs: Yes No

Cats: Yes No

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Other Animals: Yes No

General Information

Where will the pet stay while you are gone during the day?

Where will the pet sleep at night?

Please tell us what behaviors you are UNWILLING or UNABLE to work through:

Are you getting this animal for yourself? Yes No

If no, whom for?

Who will be the primary caregiver?

Do you plan to chain your pet in the yard? Yes No

Do you want your pet spayed/neutered? Yes No

Pet Ownership History

Have you ever adopted an animal before? Yes No

From whom?

Have you ever given up an animal for adoption? Yes No

Why?

Total number of pets you currently own:

Dogs:

Cats:

Other:

Total number of pets *NOT* currently owned, but owned within the last 10 years:

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Dogs:

Cats:

Other:

Specify what happened to them?

Are all of the pets in your household current on shots? Yes No

Are all of the pets in your household on heartworm prevention? Yes No

If yes, what kind:

If yes, given on what day:

Please list below all pets currently owned or owned in the past Animal One

Own now? Yes No

If No, Why not?

Species: Dog Cat

Breed:

Gender: Male Female

Length of ownership:

Spayed/Neutered: Yes No

Where is/was this animal kept?

If this is a cat, is it declawed?: Yes No

Animal Two

Own now? Yes No

If No, Why not?

Species: Dog Cat

Breed:

Gender: Male Female

Length of ownership:

Spayed/Neutered: Yes No

Where is/was this animal kept?

If this is a cat, is it declawed?: Yes No

Animal Three

Own now? Yes No

If No, Why not?

Species: Dog Cat

Breed:

Gender: Male Female

Length of ownership:

Spayed/Neutered: Yes No

Where is/was this animal kept?

If this is a cat, is it declawed?: Yes No

Animal Four

Own now? Yes No

If No, Why not?

Species: Dog Cat

Breed:

Gender: Male Female

Length of ownership:

Spayed/Neutered: Yes No

Where is/was this animal kept?

If this is a cat, is it declawed?: Yes No

Animal Five

Own now? Yes No

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If No, Why not?

Species: Dog Cat

Breed:

Gender: Male Female

Length of ownership:

Spayed/Neutered: Yes No

Download Where is/was this animal kept?

If this is a cat, is it declawed?: Yes No

Animal Six

Own now? Yes No

If No, Why not?

Species: Dog Cat

Breed:

Gender: Male Female

Length of ownership:

Spayed/Neutered: Yes No

Where is/was this animal kept?

If this is a cat, is it declawed?: Yes No

AgreementI agree to abide by Mobile Animal Rescue Services Inc. guidelines and to return the pet to MARS Inc. if I cannot keep it; and to notify MARS Inc. if the pet is lost or dies. I understand if the information provided on this application is incorrect or untrue, I will surrender this pet to MARS Inc. upon demand. I agree to allow a representative of MARS Inc. to inspect my home and yard and if any violations of the contract ar in evidence, I agree to allow the agent to remove the animal from the premises and this entry shall not constitute trespass. I certify that all the information in this application is correct and complete to the best of my knowledge.

I agree.
I disagree.

Please, print your name here to signify your signature on this application:

Today's date:

The belligerent aliens from another Galaxy conquered Mars. Free the planet from the invaders. As a pilot of a space ship, join battle to free the population of the planet. Well-equipped detachments of enemies spaceships stand in your way.
The belligerent aliens from another Galaxy conquered Mars. Free the planet from the invaders. As a pilot of a space ship, join battle to free the population of the planet.
Well-equipped detachments of enemies' spaceships stand in your way. Destroy the enemies and free the conquered territories from level to level. Peaceful citizens help you by providing weapons, ammunition, and equipment for the spaceship.
Join your counterparts from all over the world and beat your best score! If your score is among the Top 10, you can upload it to our Web site and thousands of other players all over the world will be able to see your highscore! Are you up for the challenge?
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