Creekside Adoption Application

Adoption Application

Thank you for your interest in adopting! 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. Cats: $140 for kittens, $100 for adults. Dogs: $175 for seniors, $250 for adults, $350 for puppies/young dogs and $500 for young small dogs. Some exceptions apply, due to higher maintenance breeds and vetting costs. Every animal is fully vetted prior to adoption. For any animals exact fee please message us or the foster listed.Some animals may have sponsored adoptions but adopters are expected to be finically prepared for care costs and yearly vetting of any new animal.
11791 North County Road 800 E
Roachdale, Indiana 46172 USA
www.creeksiderescue.org
CreeksideRescue@gmail.com
317.946.1316
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. Include their relationship to you.*
Please ensure every household member is aware of and okay with adding an animal to the home.
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
How long have you lived at your current address?*
What kind of fence do you have?*

No fence4ft chainlink6ft+ chainlink4ft privacy6ft+ privacyInvisible fenceOther
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.
Please list all current and previous pets owned in last 3 years.
Have you ever surrendered, returned or rehomed an animal? If yes, please explain.
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?*
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
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