* お名前

*

*

* Eメールアドレス

* 確認のため、同じEメールアドレスを再入力して下さい

携帯メールアドレス

* 住所

* 携帯電話

ご自宅電話

緊急連絡先

* Are you a breeder, or do you trade in animals?

... if yes, please explain.

* Please select the animal you want to rehome.

「その他」を選択された場合は、具体的に動物の種類をお教え下さい。

* What is the breed, age and sex of the animal?

* Are you the owner of the animal?

If not – who is?

* Tell us about how the animal came into your hands.

* Please tell us in detail why you are trying to rehome this animal.

* Has the animal seen a vet?

If not why not?

* What is the name of the vet?

* What is the URL of the vet's homepage?

* What is the telephone number of the vet?

* Do we have your permission to talk to your vet about the animal?

* Has the animal been bloodtested? (SNAP or equivalent FIV/FeLV for cats, ??? for dogs.)

If yes, what was the result – if no, why not?

* Has the animal been neutered/spayed?

If yes, do you have a vet's bill or certificate that shows the procedure has been done?

If not – please explain why not.

* Has the animal been vaccinated?

If yes, do you have vaccination certificates?

If it has not been vaccinated, please explain why not.

* What is the health and condition of the animal?

* Does the animal have any behaviour issues?

* Do you have moral objections to vaccinating animals?

If yes, please explain.

* Do you have moral objections to neutering/spaying?

If yes, please explain.

* Do you have moral objections to microchipping animals?

If yes, please explain.

If you intend asking an adopter for expenses for testing, vaccinating neutering or microchipping, please explain what and how much.

Do you have receipts for the above that you can show us? Please list, item by item.

Please add any additional information you would like us to consider.

* 1: I will neuter/spay the animal if old enough, and if not, rehome with a strict neutering/spaying agreement.

* 2: I will vaccinate the animal, appropriate to its age, and rehome with a vaccination agreement for any vaccinations that are pending.

* 3: I will microchip the animal, if old enough and rehome with a microchipping agreement if not.

* I will research any potential adopter thoroughly, including visiting their home to check the conditions under which the animal will be kept, and make a real effort to rehome the animal appropriately.

* I am the owner or guardian of this animal and am legally permitted to rehome it

* I am 21 years old or older.

* I will consider applications in Japanese from foreigners on their merits.

* I certify the above information is true.

* Please type your name to indicate your agreement to the above:

* 迷惑メール対策の為、左のセキュリティーコードを入力してください。スピーカーアイコンをクリックすると音声になります。

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