Care of Animal & Home Environment
Type of Animal/Breed, Time Owned, Age, Gender, Neutered/Spayed, Vaccinated, and are they on Heartworm prevention?
Please provide THREE personal references. Be sure to include their name and phone number.
If at any time an adopter cannot keep the animal, it must be returned to Yvette Nielsen and/or any other co-owner listed at time of placement.
If the animal is not spayed or neutered at adoption, the adopter is required to alter the animal and provide a veterinary certification of altering to Y-not a Sam Rescue by the date specified in the adoption contract -- animals unaltered by the contractual date may be seized. In addition, each pet adoption is assessed a non-refundable tax-deductible donation, varying by animal to help pay veterinary/other expenses.
By selecting "yes" below, I acknowledge that I completely read this questionnaire, comprehend it fully, know that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application or the adoption contract can result in the forfeiture of any available/adoptable Samoyed rescued/ adopted by me.