AdopterInformationSheet

1、Adopter Information Sheet领养人表格Adopted Animal Name/Type: _Adopter Name: _领养人姓名：Nationality: _国籍：Telephone/Mobile Number: _联系方式：Email: _电子邮箱Address: _家庭住址：How many family members? Any family member under 5 years old?家庭成员几人，是否有5岁以下的儿童？：How long will you stay in China?在中国会待多久：1：All family members agree

2、with the adoption Yes No 所有家庭成员都同意领养 是 否 2：All family members have no allergies to dogs/cats Yes No 所有家庭成员都不会对狗过敏 是 否 3：Willing to apply for the Shanghai register license (for dogs) Yes No 是否愿意办证 是 否 4：Accept home visits after adoption (once in a while) Yes No 接受适当回访 是 否 5：Experience having cats/dog

3、s? Yes No 是否有养宠经验 是 否 6: Do you have any existing pet(s) in your house? If yes, what animal do you have? Yes No 家里现在是否有其他宠物？ 是 否 7：Take your adopted pet(s) back to home country or any other place when leaving China?Yes No 离开中国时,会否将领养宠物一起带着 是 否 8：Willing to return the pet back to the rescuer if issue

4、s arise during/after the adoption or after certain circumstances? Yes No 如遇特殊情况无法继续领养时，愿将宠物送回原救助人 是 否 9：Agree to return the pets under no conditions if abuse, neglect or breeding is found? Yes No 如发现有虐待宠物或不科学养宠情况，领养人同意无条件退回 是 否 10: Animal to be housed indoors Yes No 宠物饲养在室内 是 否 11: Keep dog on a lea

5、sh at all times when walking Yes No 遛狗时要牵绳 是 否 12: Be able and willing to spend the time and money necessary to provide medical care and overall proper care for the pet? Yes No 有能力并且愿意为宠物的日常照料以及医疗花时间和金钱 是 否 13: Would you be able to handle problems such as chewing, barking, jumping, and house-soiling

6、? Yes No 是否能够忍受狗狗的一些小毛病，如咀嚼，吠叫，和弄脏房子吗？ 是 否 14: Do you understand that these dogs may have been abandoned and may need time to adjust to a new home? Yes No 你是否明白，这些动物是被遗弃的，因此需要时间来调整到一个新的家吗？ 是 否 15: Are you willing to be patient and give the dog at least a month to adjust to your family and environmen

7、t? Yes No 你愿意花至少一个月的时间让您领养的动物适应新环境吗？是 否 16: Do you have a maid at home? Yes No 家里有保姆吗？ 是 否 If yes, will your maid look after the animal you adopt? Yes No 如果是，你的保姆会照顾您领养的宠物吗？ 是 否 17: Will the animal be left alone in the house? Yes No 宠物会被独自留在家里吗？ 是 否 If no, who will look after the animal you adopt? 如

8、果不是，谁来照顾您领养的宠物？ I hereby certify the above information is true and correct, and I will take up full responsibility with adopting this animal.我保证以上信息均真实可信，我会承担起领养这个动物的所有责任。FYI: One of the most common questions we are asked is How much does it cost to adopt an animal from JAR?Our response is this, The

9、re is no fixed price on any animal that is up for adoption. It is up to the discretion of the adopter if they would like to make a donation. However, with the growing increase of rescued animals and expenses an amount of at least 300 RMB given to the group when adopting an animal from us is greatly

10、appreciated.Please note that JAR is a non-profit animal rescue group. We rely on donations from kind hearted individuals which is then in turn used for food, vaccinations, grooming, deworming, defleaing, desexing, and transportation. Your understanding and support is much appreciated by the group and the animals.Thank you for your support!请注意：经常会有人问我们：“从JAR领养小动物需要支付多少费用？”我们的回答是：“我们不收取固定费用，这个根据领养人自愿捐助的数目而定。但是，由于救助的动物数量越来越多，所以不低于300元人民币的捐赠会让我们非常感谢！” 请注意JAR是一个非盈利的动物保护组织，我们的费用来源主要靠很