CHEW ANIMAL CLINIC - ADOPTION APPLICATION

The adoption fee is $650 and includes the following services, all provided at CHEW:

Doctor exams/Nurse exams
(2) DHPP vaccinations
(2) Leptospirosis vaccinations
Bordetella vaccination
Rabies vaccination
Microchip implantation
Deworming
Spay/neuter surgery

Please note: These services must be completed at CHEW to be covered by the adoption fee. Any services performed elsewhere will not be reimbursed or included.

The remaining portion of the adoption fee will be directed to our Compassion Fund, which helps provide care for animals in need. CLICK HERE FOR MORE INFO

NAME*

First NameLast Name

ARE YOU OVER 21 YEARS OF AGE?*

YESNO

Do you prefer a female or male*

Are you open to adopting the opposite gender*

ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

HOW LONG AT THIS ADDRESS?*

DAYTIME PHONE*

Area CodePhone Number

OWN YOUR HOME?*

RENT? (if yes, you must have landlord approval)*

IS YOUR YARD FENCED?*

YESNO

UPLOAD PHOTOS OF THE YARD AND AREAS OF THE HOME WHERE THE S/HE WILL SPEND TIME.*

Browse Files

Is a member of your household at home during the day?*

WHERE WILL S/HE SPEND THE DAY?*

Crate, laundry room, outside, etc

WHERE WILL S/HE SPEND THE NIGHT?*

WHAT OTHER ANIMALS DO YOU HAVE AT HOME*

ARE THEY SPAYED OR NEUTERED?*

YESNO

IF NO, PLEASE EXPLAIN:*

IF YOU HAVE OTHER DOGS OR CATS ARE THEY CURRENT ON VACCINATIONS?*

YESNO

ARE THERE CHILDREN IN THE FAMILY?*

YESNO

IF YES, WHAT ARE THEIR AGES?*

BY TYPING MY FULL NAME BELOW, I AFFIRM THAT ALL INFORMATION ABOVE IS TRUE. *

TYPE FULL NAME HERE

CHEW ANIMAL CLINIC - APPLICATION