Adoption Application
What type of animal are you interest in?
Dog
Cat
Other
Animal Name (if there is one in particular you are interested in)
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you 18+
Yes
No
Preferred Method of Contact & Time of Day
Have you adopted from us before?
Yes
No
Please explain why you're choosing to adopt and/or why you've chosen the animal you're applying for
Can you afford the annual medical costs (vaccinations, checkups) for this animal?
*
Yes
No
Other
Can you afford the cost of additional, unplanned medical care/vet fees should the need arise in the future for this animal?
*
Yes
No
Other
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More About You
Let's learn more about what type of home environment you would be welcoming a new pet into.
Home Environment (please check all that apply)
Rent
Own
Live with family
Roommates
Apartment
Condo
Mobile Home
House
Acreage
Large Yard
Small Yard
No Yard
Fenced Yard
Unfenced Yard
1 Dog
2+ Dogs
1 Cat
1+ Cats
Other Animals
Tell us more about the members of your home (ex: how many adults / seniors / children)
Tell us what you're looking for (please check all that apply)
Sex - Female
Sex - Male
Sex - No Preference
Animal - Dog
Animal - Cat
Animal - Other
Age - Young (0-6 months)
Age - Young Adult (6-12 months)
Age - Adult (1-5 years)
Age - Senior (6+ years)
Age - No Preference
Size - Small
Size - Medium
Size - Large
Size - Extra Large
Size - No Preference
Energy - Low
Energy - Moderate
Energy - High
Energy - No Preference
Coat - Short
Coat - Medium
Coat - Long
Coat - Non Shedding
Coat - No Preference
It is very important for my pet to (please check all that apply)
Be friendly with children
Be friendly with visitors
Be playful
Be quiet
Be calm
Be independent
Be friendly with dogs
Be friendly with cat
Enjoy being held
My pet will live (please check all that apply)
In my home
In my barn or shop
Outside
Other
When I'm on vacation my pet will (please check all that apply)
Come with me
Be home alone
Go to a kennel
Be checked on by someone I trust
Stay with a friend
Have a sitter
Other
Which of the following are you willing to work on with your new pet (please check all that apply)
House training
Separation anxiety
Jumping up & mouthing
Food and/or toy possessiveness
Shy/Fearful behaviors
Litter box issues
Play aggression
Barking problems
Basic training / leash skills
Poor social behavior
We will explain this pet's medical & behavioral history to you. Please check any additional topics you would like to discuss.
House training / litter box
Training
Crate training
Grooming / nail trimming
Finding a trainer
Introduction to other pets
Introduction to other humans
Leash / harness training
Microchips & other ID options
Finding a vet
Puppy / Kitten proofing your home
Other
Extra Services & Opportunities (please check any that you are interested in)
Information about supporting us with financial or in-kind donations
City ID Requirements
Information on volunteering
Information on fostering
Follow up call from our kennel staff after adoption to discuss how things are going
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References
Your references should be someone that can attest to your ability to care for an animal and knows your lifestyle. This person CANNOT be someone who lives in your home, or is a family member/relative. Not providing references is reason for our staff to deny your application. Please initial
Please initial here to acknowledge that having someone vouch for you incorrectly is means for the organization to deny your adoption application or deny adopting to you in the future.
Reference #1: Name
Reference #1: Relationship
Reference #1: Phone Number
Reference #2: Name
Reference #2: Relationship
Reference #2: Phone Number
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