SECOND CHANCE ANIMALS OF GREATER MILWAUKEE
Adoption Application
Personal Information
Please fill out your information below.
Name
*
First Name
Last Name
Birth Date
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Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Associated/Partner/Spouse Person
First Name
Last Name
Associated Person/Partner/Spouse Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
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9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
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1985
1984
1983
1982
1981
1980
1979
1978
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1976
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1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Associated Person/Partner/Spouse Phone Number
Format: (000) 000-0000.
Associated Person/Partner/Spouse E-mail
example@example.com
Address
*
Street Address
Street Address Line 2
City
State
Post Code
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Adoption Application
Second Chance Animals of Greater Milwaukee
What type of animal are you interesting in adopting?
*
Dog
Cat
If applicable, what is the name of the animal are you interested in adopting?
Are you familiar with the breed/type of animal you are interested in adopting?
*
Yes
No, but I plan to educate myself
No
Have you discussed adopting with all the members of your household?
*
Yes
No
Please list ALL of the people that will be living in the home with the animal.
*
Include FIRST & LAST NAME, AGE, and RELATIONSHIP TO YOU. (Example: Mary Smith, 3yo, daughter)
Please list all of the pets/animals you have owned in the last 5 years.
*
Include TYPE (dog, cat, hamster, etc.) NAME, AGE, SEX, BREED, and if CURRENTLY OWNED. If you no longer own, please put the reason why you no longer own the animal. (Example: Dog, Henry, 5yo, Male, Lab, Passed away from cancer 2 years ago)
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Are all of your animals/pets up-to-date on vaccinations and spayed/neutered?
*
Yes
Yes spayed/neutered, but not up-to-date on vaccinations
Yes up-to-date on vaccinations, but not spayed/neutered
No
NA
If you answered, "Yes spayed/neutered, but not up-to-date on vaccinations", "Yes spayed/neutered, but not up-to-date on vaccinations", or "No" to the question above, please explain.
We require all other animals in the home to be spayed/neutered and up-to-date on vaccinations, unless there is valid medical reason that can be confirmed by your vet.
Are all of your animals/pets on applicable flea and tick and heartworm prevention, as applicable?
*
Yes, both flea & tick and heartworm prevention, year round
Yes flea & tick, but not heartworm
Yes heartworm, but not flea & tick
Depends on the time of year
No
NA
If you answered, "Yes flea & tick, but not heartworm", "Yes heartworm, but not flea & tick", "Depends on the time of year", or "No" to the question above, please explain.
Vet Reference
*
Include CLINIC/VET NAME and PHONE NUMBER. Please contact your vet clinic prior to submitting this application to allow release of information to us to verify your animals medical information.
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Do you rent or own?
*
Own
Rent
Other
If you rent, please provide your landlords name and phone number or email address for us to verify the animal limitations in your home.
Type of Residence
*
Single Family Home
Multi-Family Home
Duplex/Condo
Apartment
Trailer
Other
Do you have a yard?
*
Yes, completely fenced in
Yes, partially fenced in
Yes, electric fence
Yes, no fence
No
NA - Applying for cat
If you do not have a completely fenced in yard or no yard, where will you take the animal outside to use the bathroom and how do you plan to keep the animal safely in the yard/area?
How many hours a day will the animal be left home alone?
*
Where will the animal be kept at night or when you are not home?
*
How would you describe the your home environment?
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i.e. calm & quiet, active & busy, lots of people coming & going..
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Animals/pets can be expensive, are you prepared to provide your new animal with their basic necessities and any medical care that may arise?
*
Yes
No
Are there any "deal breakers" for your family in regards to behavior for your new pet? If yes, what are they?
*
Have you surrendered a pet before? If yes, please explain.
*
Please use this section to share any additional information you feel would may be important for us to know while reviewing you application!
*
The more information we have about your family, lifestyle, and animal experience the easier it is for us to review your application and move the process along, so share away!
Thank you very much for your interest in adopting with Second Chance Animals of Greater Milwaukee! Please We will get back to you as soon as possible but be sure to check your spam emails, sometimes we get lost in the mix!
By signing below you are confirming that all of the information provided in this Adoption Application is true and correct.
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