ADOPTION/FOSTER

What pet are you inquiring about?*

Are you interested in adopting or fostering?*

Name*

First NameLast Name

Cell Number*

Please enter a valid phone number.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Co-Applicant

Co-Applicant Cell Number

Please enter a valid phone number.

Co-Applicant Email

example@example.com

Co-Applicant Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Age of self and all other persons living in the home; (please list and notate any persons who regulary visit the home).*

Are all family members in agreement with getting a pet? If not, please explain. *

Who is the pet primarily for? (adult, child, elderly)*

Who will primarily care for, train and excercise the pet?*

Please list all pets currently in your home. Include the following: pet names, age, sex, species and if the pet is spayed or neutered.*

Please list all pets you have owned in the past ten years. Include the following: pet names, age, sex and if the pet is/was spayed or neutered. If deceased what was their age and cause of death.*

Does anyone in your household have allergies? If yes, what are allergens?*

Do you own or rent? If renting please provide your landlord's name and phone number.*

Owners: We must verify ownership of your home with the assessors office. Renters: We must receive landlord's approval. Please provide name and number.

How long have you lived at your current address?*

May we visit your home prior to application approval?*

Please tell us why you want to adopt a pet.*

Please tell us a little about your lifestyle, your family, including any special activities in which your dog or cat would be included.*

Please list your current veterinarian (include address and phone). If you do not currently have a veterinarian please list your previous vet.*

What heartworm preventative do you use?*

Why are you interested in this particular animal? Please specify.*

Will this pet be allowed in the home?*

How long will the pet be alone (without humans) each day*

Where will the pet stay when you are away from the house?*

Is your yard fenced? If so what type of fence is it (vinyl, chain link, wood etc.) and what is the height of fence?*

If you currently have cats, are they declawed?*

Do you plan on declawing a cat you adopt?*

Are you aware that the routine costs of maintaining a dog/cat average $1200.00 a year?*

Have you ever sold, given away or surrendered a pet to the shelter? If yes, please specify why.*

When you move or evacuate due to a hurricane what will you do with your pets?*

Do you understand the state and local ordinances concerning licensing and leashing?*

Have you or any member of your immediate family/household been cited for leash law violations or cruelty to animals in the past? If yes, please specify.*

Please tell us where you saw the animal you are inquiring about posted.*

Applicant Signature*

Date*

Date

Co-Applicant Signature

Date

I authorize my vet to release my pet's medical information.*

YESNO

Adoption/Foster Application