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Yes  No  City:  State:  Zip:  Primary Phone:   Cell Phone:   Email:  Driver’s License \\#:   Are you over 18? Yes  No   \nDo you: Own  Rent   \n* MADACC relies on applicants to be aware of any restrictions on animals being permitted at their residence, owned or rented, including number of animals permitted, size, species and breed restrictions, and expect that you have permission from your landlord and have paid any required deposits and made any and all other arrangements prior to bringing your new pet home.  \nI am permitted to have a pet at my residence and have made all arrangements: Yes  No   \nNames and ages of all residents in the  \nhome:   \n___________________________________________  \n___________________________________________  \nExisting pets in the home (leave blank if none): Dog(s)  Cats(s)  Small Animals   \nAges/Breeds/Species:   \n___________________________________________  \n___________________________________________  \n___________________________________________  \nAre your pets spayed/neutered? Yes  No  Your existing pets live:  \nIndoor  Outdoor  Indoor/Outdoor   \nWhen you are not home your new pet will be: Indoor  Outdoor  Indoor/Outdoor   \nHow would you describe the activity level in your home:  \nZen Garden  Average  Circus-like   \nHow much time do you spend away from home on average?  \nHome all day  4 – 7 hours  8 – 12 hours   \nMy pet will be around children: Yes  No   \nWhat experience do you have with pets?:  \nFirst time  Childhood pets  Experienced   \nI would consider an animal with special needs: Yes  No  Maybe   \nWhat are you looking for in a new pet?  \nCouch potato Run/hiking partner Good with children Dog Friendly Cat Friendly Always by my side Very outgoing Laid back  \nCuddle Buddy Guardian  \nSocial Butterfly Declawed Working animal Able to be alone More independent Playful  \nWhat topics would you like information on?  \nProper feeding Pet proofing Crate training Litterbox training Grooming  \nTraining Introducing new pet Future vet care Exercise/Toys Declawing  \nOther:   \n___________________________________________  \nMilwaukee Area Domestic Animal Control Commission (MADACC) reserves the right to refuse an adoption to any applicant for any reason. I certify that the information I have provided is true and understand that giving false information may result in the denial of adoption. I understand that this is a profile and not an application and filling out this profile does not constitute an approved adoption application. In consideration of MADACC allowing my/my family’s interaction with animals, I agree to release and hold harmless MADACC from and against any loss, damage, injuries, claims, liabilities and expenses of any nature whatsoever, including without limitation attorney’s fees and disbursements. I understand if an accident or injury should occur, no matter how minor, that I will notify a MADACC staff member and seek medical attention utilizing my own medical insurance. I understand that there are risks inherent in handling animals and accept those risks.  \nSignature Date","cbCaijSRN9BhrHTQ","https://ap.wps.com/l/cbCaijSRN9BhrHTQ","pdf",107375,"English","# Applicant Information\n# Pet & Household Details\n# Lifestyle Fit & Preferences\n# Experience & Requested Information\n# Certification and Signature","[{\"question\":\"What information does the MADACC adopter profile request about the applicant and residence?\",\"answer\":\"It asks for contact details, driver’s license number, whether the applicant is over 18, rental/ownership status, and the city/state/ZIP. 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