Adoption Application

Adoption Application

BE SURE TO ADD US TO YOUR TO YOUR CONTACTS SO YOU DON'T MISS AN EMAIL! ONLY 1 APP FOR SAME ANIMAL, IF YOU GET YOUR COPY WE HAVE OUR COPY.
your name*

First NameLast Name
Email*

Confirmation EmailRetype email
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
PET Name you are interested in*
Full name, of all adults in the home (including applicant) and relationship to applicant AGE (required) NO AGES APPLICATION IS INCOMPLETE*
Applicants occupation *
How many children living in home? Ages? *
Number of adults living in the home*
Does anyone in the household have allergies to cats and/or dogs? *
Personal reference name and contact number. *
Relationship to applicant *
2nd Personal Reference name and contact information*
2nd reference relationship to applicant *
Type of Dwelling *
If other please explain:
Does applicant rent or own dwelling *
If other please explain, If rent please list landlord name and contact info
Are you planning to move in next year? *
Do you have a fully fenced yard*
What type of fence do you have *
If other chosen please explain type of fence
Does your home have a pool? *
Do you have a doggie door *
How many current pets do you own? Please list type of pets (ie dog, cat, hamster etc) *
Current pet name (if no pet please put N/A) Pet 1 *
Pet 1 breed *
Pet 1 age
Where does pet 1 stay during the day*
If other please explain
Where does pet 1 stay at night *
If other please explain:
Pet 1 Gender *
Pet 1 Currently on heartworm prevent? *
Are Pet 1 vaccinations current? *
How long have you owned Pet 1? *
Pet 2 Name *
Pet 2 Breed *
Pet 2 Age*
Where is Pet 2 kept during the day*
If other please explain
Where is Pet 2 Kept during the night*
If other please explain
Pet 2 sex*
Is Pet 2 current on Heartworm prevention*
Is Pet 2 current on vaccinations *
How long have you had Pet 2?*
Pet 3 Name
Pet 3 Breed
Pet 3 Age
Where is Pet 3 kept during day
Where is Pet 3 kept during the night
If other please explain
Pet 3 sex
Is Pet 3 current on heartworm prevention
Is Pet 3 vaccinations current
How long have you had this pet?
Have you ever given an animal away? If so please explain.*
Previously owned pets name (prior to current pets) if you have never owned a pet please answer N/A*
Previous pets breed and age*
Where was this pet kept*
Previous pet sex*
Was previous pet current on heartworm prevention? *
Was previous pet current on vaccinations?*
What happened to previous pet 1? Approximate year?*
Previous Pet 2 name and breed
Previous Pet 2 age
Where was previous pet kept?
Previous pet 2 sex
Was previous pet 2 current on Heartworm prevention?
Was previous pet 2 current on vaccinations?
What happened to previous pet 2? Approximate year
Vet name & telephone number( without PHONE number, it will not be approved) please include current and past vet. *
What name/names are on the account as owner?*
Who would be responsible for the care of the pet?*
What is the primary reason for adopting the pet?*
If other please explain*
Where would adopted pet sleep*
How many hours per day would the adopted pet be left alone (without humans)?*
Where would the adopted pet stay when alone *
When you are home the adopted pet would be?*
If other please explain?*
Approximately how many hours a day will adopted pet be crated?*
Which rooms or areas of Home/yard will be off limits to the pet*

FurnitureKitchenLiving roomBedroomsFenced yardFront yard/unfenced yardGarageNo areas off limitOther
If outside what space is available for adopted pet?*
When you travel who will care for the pet while you are gone?*
Under what circumstances would you not keep the pet (click all that apply)*

DivorceMovingHaving a babyHousetraining issuesAggression between petsAllergiesAggression towards peopleBarkingFence issuesNo time for petWould not give up for any of the aboveOther
If the pet becomes ill or injured are you financially prepared to provide the needed medical care?*
The pet may live 15+ years, what would you do with your pet if you could no longer take care of the pet?*
Is there anything else you would like to tell us about yourself?
By typing your name on this form you are stating all answers are true. *
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