Mozambique Animal Protection Society
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MAPS Adoption application form
Name and Surname
*
Address
*
Cellphone number
*
E-mail address
*
Age
*
Why would you like to add an animal to your family?
*
Do you own any other pets? Please mark all that apply
*
Dog
Cat
Bird
Fish
Exotic pets
Goat
Horse / Donkey
Other
I don't have any other pets
If you have other pets, are they spayed / neutered?
*
Yes
No
Not applicable
Have you ever given an animal up to a shelter before?
*
Yes
No
If yes, please provide details and the reason for doing so
*
Do you rent or own your home?
*
Rent - short term
Rent - long term
Own
Please describe the fence or wall surrounding your property
*
Do you have a swimming pool?
*
No
Yes, but not enclosed
Yes, fully enclosed
Would this animal be an inside or outside animal?
*
Inside
Outside
Both
How much time do you and your family have to spend quality time with this animal?
*
All the time
In the morning and evening
A little in the week, but mostly weekends
Only weekends
Once a month
Submit