Creekside Adoption Application

11791 North County Road 800 E
Roachdale, Indiana 46172 USA
www.creeksiderescue.org
CreeksideRescue@gmail.com
317.946.1316
Adoption Application

Thank you for your interest in adopting! Please read ALL the following information! This is NOT an adoption contract or commitment of anything, and does not guarantee you will be approved. This form serves as an inquiry and allows us to get to know you and what animal you are seeking to add to your family! Please note we do our best to match every animal with a home that suits their needs. Please be prepared to make an adoption donation ranging from $75-$200 for cats and $175-$750 for dogs. Every animal is fully vetted prior to adoption including spay/neuter, yearly vaccinations, flea/tick/heart worm prevention. Some animals may have sponsored adoptions but adopters are expected to be financially prepared for care costs and yearly vetting of any new animal. Please fill this form out with as much detail as possible and be honest in your answers. Each application is reviewed as a whole, no one question determines approval.
Adoptable Pet Information*
If you are not applying for a specific pet, list the type of pet and your needs. (Ex. kid friendly dog under 50 lbs)
Your Legal Name*

First NameLast Name
Current Living Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
How did you hear about Creekside Animal Rescue?
Preferred method of contact:

CallTextEmail
Home and Pet Information

This section helps us learn about your lifestyle and what animals will fit best in your home
Please list the full names, ages and gender of everyone in the home, icluding yourself. Include their relationship to you.*
Please ensure every household member is aware of and okay with adding an animal to the home.
How long have you lived at your current address?*
Please list the name of your current employer and how long you have worked for them Employment Information*
Do you rent or own your current residence?*

OwnRent
If you rent please list the landlord or rental company name, contact information and any breed restrictions or weight limits that apply. If you will be using an ESA letter please have a copy ready to show a Creekside Representative.
What kind of fence do you have?*

No fence4ft chainlink6ft+ chainlink4ft privacy6ft+ privacyInvisible fenceOther
Please list all current and previous pets owned in last 3 years. (Type NA if none)*
Have you ever surrendered, returned or rehomed an animal? If yes, please explain. If yes, it does NOT mean you will be automatically denied, we understand that every situation is unique. *
Type of companion animal you are seeking? (Check all that apply)*

PuppyAdult DogSenior DogKittenAdult CatSenior CatOther
Why are you looking to adopt a new pet?*
How do you plan to exercise and enrich your new pet?*
What training style or tools do you plan to use with your new pet?*
What qualities are you seeking in your new pet? Please be specific.*
Are there any qualities of your home or lifestyle that may be important for us to know when placing an animal with you? (i.e. you have many guests over)*
Where will your pet stay and who will care for them when you are unable?*
Where will your pet sleep at night?*
What's the longest duration you'll leave your pet unattended outside?*
Do you intend for your adopted pet to be an indoor or outdoor pet? *
What is the longest duration you will leave your pet alone? *
Are all members of your household agreeable in adopting an animal?*
Have you recently had any major life changes, or plan to in the near future? Examples: Moving, adding a new pet, career change, having a baby/adopting a child, etc.*
Personal Reference 1 (Reference should not currently be living with you) *

Name and Relation to youPhone Number
Personal Reference 2 (Reference should not currently be living with you) *

Name and Relation to youPhone Number
Veterinarian name, Phone or Address*

NamePhone or Address
Please upload any vet records for current or previously owned pets. We do require all current pets to be spayed/neutered and up to date on vaccinations prior to completing the adoption. (with the exception of if you and your vet have decided it is in your pets best interest to not be vaccinated or altered.)

If you do not upload records here a vet check will be completed or you will be asked to show records via text or in person.
Cancelof
Please upload a photo of your valid ID or Drivers License. *

If you do not upload a photo of your ID here we will request one upon contacting you. We use this to confirm your address and background information.
Cancelof
Do you have the financial ability and stability to care for a pet? The average annual cost of owning a cat is between $500-$2,800. For dogs it is $480-$3,470. We are happy to provide low cost vetting options if needed. More information: https://www.marketwatch.com/insurance-services/pet-insurance/cost-of-owning-a-dog/*

Yes, I can comfortably afford to add a new pet.No, I can not comfortably afford to add a new pet.Other
Do you plan to declaw, dock tails, crop ears or do any cosmetic procedures to your new pet?*

YesNo
If intending to do any cosmetic procedures we respectfully ask you NOT to adopt one of our animals as we believe cosmetic procedures are inhumane. We prohibit all cosmetic procedures on any animal adopted from Creekside Animal Rescue Inc. Do you agree not to perform any cosmetic procedures on your new pet?*

YesNo
Signature*

Clear
By signing above, I agree that all information provided is accurate and current.
Date*

MonthDayYear
Should be Empty:

Adoption Application

Home and Pet Information