Please enable JavaScript in your browser to complete this form. - Step 1 of 6Please contact us if you have any questions while completing this form. Call or text (936) 615-7425 or send email to adopt@stfrancisrescuenac.comName *FirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDay Phone *Evening Phone *Email *What is your age? *18-2021-2526-3030+Over 65NextPlease contact us if you have any questions while completing this form. Call or text (936) 615-7425 or send email to adopt@stfrancisrescuenac.comIt is my intention to integrate any animal I may adopt into my home and life as a pet and companion. I understand that adoption entails a commitment to provide responsibly for the pet's needs for the rest of its life. I am over age 18 and I am ready to make this commitment. *Please read and initialI am aware that pets adopted from St. Francis Rescue Nacogdoches are current on all vaccinations at the time of adoption, and that they and all other pets in the adopter's home must be kept current on vaccinations. *Please read and initialI am aware that my pet may live 15 or more years; that a pet’s basic needs alone cost hundreds of dollars per year; that my pet will require time each day for training, grooming, exercise, and interaction. *Please read and initialI am aware that if at any time for any reason I am unable or unwilling to care properly for this pet, I am to return him/her to SFRN. Under no circumstances will I give away or sell this pet. *Please read and initialI am aware that all pets adopted from SFRN must be spayed or neutered, and that all other pets in the adopter’s home must also be spayed or neutered. *Please read and initialNextPlease contact us if you have any questions while completing this form. Call or text (936) 615-7425 or send email to adopt@stfrancisrescuenac.comIf you have looked at the pets we have available for adoption online and are interested in a specific one, what is his/her name?What pets are currently in your household? Pet #1Name (Pet 1)Type (Pet 1)DogCatIs this pet Spayed or Neutered? (Pet 1)YesNoWhere is this pet kept? (Pet 1)InsideOutsideIn/OutBreed (Pet 1)Sex (Pet 1)MaleFemaleAge (Pet 1)How many years have you had this pet? (Pet 1) Pet #2Name (Pet 2)Type (Pet 2)DogCatIs this pet Spayed or Neutered? (Pet 2)YesNoWhere is this pet kept? (Pet 2)InsideOutsideIn/OutBreed (Pet 2)Sex (Pet 2)MaleFemaleAge (Pet 2)How many years have you had this pet? (Pet 2) Pet #3Name (Pet 3)Type (Pet 3)DogCatIs this pet Spayed or Neutered? (Pet 3)YesNoWhere is this pet kept?InsideOutsideIn/OutBreed (Pet 3)Sex (Pet 3)MaleFemaleAge (Pet 3)How many years have you had this pet? (Pet 3) Pet #4Name (Pet 4)Type (Pet 4)DogCatIs this pet Spayed or Neutered? (Pet 4)YesNoWhere is this pet kept? (Pet 4)InsideOutsideIn/OutBreed (Pet 4)Sex (Pet 4)MaleFemaleAge (Pet 4)How many years have you had this pet? (Pet 4)NextPlease contact us if you have any questions while completing this form. Call or text (936) 615-7425 or send email to adopt@stfrancisrescuenac.comList your previous pets & describe why you no longer have them.Previous Pet #1Name (Previous 1)Type (Previous 1)DogCatWas this pet Spayed or Neutered? (Previous 1)YesNoWhere was this pet kept? (Previous 1)InsideOutsideIn/OutBreed (Previous 1)Sex (Previous 1)MaleFemaleAge (Previous 1)How many years did you have this pet? (Previous 1)Briefly explain why you no longer have this pet. (Previous 1)Previous Pet #2Name (Previous 2)Type (Previous 2)DogCatWas this pet Spayed or Neutered? (Previous 2)YesNoWhere was this pet kept? (Previous 2)InsideOutsideIn/OutBreed (Previous 2)Sex (Previous 2)MaleFemaleAge (Previous 2)How many years did you have this pet? (Previous 2)Briefly explain why you no longer have this pet. (Previous 2)Previous Pet #3Name (Previous 3)Type (Previous 3)DogCatWas this pet Spayed or Neutered? (Previous 3)YesNoWhere was this pet kept? (Previous 3)InsideOutsideIn/OutBreed (Previous 3)Sex (Previous 3)MaleFemaleAge (Previous 3)How many years did you have this pet? (Previous 3)Briefly explain why you no longer have this pet. (Previous 3)Previous Pet #4Name (Previous 4)Type (Previous 4)DogCatWas this pet Spayed or Neutered? (Previous 4)YesNoWhere was this pet kept? (Previous 4)InsideOutsideIn/OutBreed (Previous 4)Sex (Previous 4)MaleFemaleAge (Previous 4)How many years did you have this pet? (Previous 4)Briefly explain why you no longer have this pet. (Previous 4)NextPlease contact us if you have any questions while completing this form. Call or text (936) 615-7425 or send email to adopt@stfrancisrescuenac.comVeterinarian InformationName of Veterinarian *Veterinarian's Phone Number *Name records are under if different from applicantI authorize the veterinarian listed above and their agents to release to SFRN any information pertinent to evaluating my history of pet ownership, if any. *InitalsResidence InformationHow many years have you lived at this address?Do you live in a *HouseApartmentDuplexTownhome/CondoMobile homeAre you planning to move soon? *YesNoDo you own or rent? *OwnRentName of LandlordLandlord's Phone NumberI authorize my landlord (if any) and their agents to release to SFRN information in my rental agreement that pertains to pet owning and keeping.InitalsHow will you keep your pet confined when outdoors (check all that apply)? *FenceKennel RunPatioGarageLeashChain/Tieout/RunnerOther (Fill in next blank)If you answered Other above, explain here.If you answered Fence above, How tall is the fence?If you answered Fence above, What type of fence is it?NextPlease contact us if you have any questions while completing this form. Call or text (936) 615-7425 or send email to adopt@stfrancisrescuenac.comOther InformationHow will you prevent your dog from getting heartworms? *Are you familiar with your local city regulations requiring pets to be licensed every year? *YesNoTo provide food, medical care, registration and grooming for this pet, how much do you anticipate spending yearly? *$200$300$400$500$600$700 or moreIf you suddenly relocated or had other drastic lifestyle changes that made it hard to keep your pet, what would you do with him/her? *THE PET WILL BE RETURNED TO SFRN* *InitialIf the pet becomes seriously ill or injured and your veterinarian says expensive medical treatment is needed, what will you do? *Number of adults in your household *Number of children and their ages *Is anyone in your family allergic to dogs or cats? *YesNoIf so, how will you accommodate? *How many hours per day will this pet spend alone? *Why? *Where will you keep your pet when you are at work? *Where will you keep your pet at night? *What will you do if your pet is destructive? (digs, chews, claws furniture, etc.)? *Do you know you may have to obedience and/or housetrain your pet, which may require time and patience, and are you willing to commit to any necessary training? *YesNoWith your current or previous companion animals, have you dealt with behavioral issues such as separation anxiety or fear of thunderstorms? *YesNoIf yes, what did you do to resolve them?What specific traits are you looking for in a dog or cat (i.e. crate trained, good with other dogs/cats, etc.) *How will you exercise and interact with your pet? *Why do you want to adopt this particular pet/breed? *Does everyone in the family want to adopt this pet? *YesNoWould you object to a home visit from a representative of SFRN prior to adoption? *YesNoWould you object to a follow-up call from SFRN? *YesNoI certify that the above information is true. False information will be cause for denial of this application. SFRN reserves the right to deny any adoption for the sake of the animal’s welfare. All completed applications are the property of SFRN and will be retained in their files. Type your full name if you agree. *DateSubmit