Adoption Application Form

Adoption Application Form

Thank you for your interest in adopting a rescue animal. Please fill out the form below to help us understand your suitability and preferences.
Are you local to the Chattanooga, TN area? *
Our rescue and all of our animals are based in Chattanooga, TN. We love finding the right homes near and far, and transport to your area can be arranged for an additional fee!
What kind of animal are you interested in adopting?*
Which animal(s) are you most interested in adopting? If applying for kittens, please list your top 3 choices.*
Please specify the name of the animal you're interested in.
Full Name*

First NameLast Name
Phone Number*
Our Adoptions Team will text you with next steps!
Email Address*
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Home*
Rent or Own?*
Do you have permission from your landlord to have pets?*
Documentation will be required as part of the adoption process
Fenced Yard?*
If your yard has an invisible or electric fence (not a physical one), please choose “No.”
Do you live in a high-traffic area (busy street, near a highway, etc.)?*
Living Situation
If you were to adopt, where would the animal live?*
How often and for how long will the animal be left alone?*
Please list any other humans living in your house (names and ages)*
Employment Information
Employment Status*
Employer*
Supervisor's First Name*
Supervisor's Last Name*
Employer Phone Number*
Pet Ownership History
Why do you want to adopt?*
Have you owned a pet before?*
If yes, what kind?

DogCatSmall Pet (rabbit, guinea pig, hamster, reptile, fish, etc.)Large Pet (horse, goat, farm animal, etc.)Other
Have you surrendered or rehomed an animal before?*
If yes, please explain:
Have you adopted from Your Local Fur Mama before?*
Do you currently have pets?*
Please list all pets in the home (Species, Breed, Age)
Are all pets in the home spayed/neutered and up to date on all vaccines?
Current Veterinary Office Name*
Veterinary Office Phone Number*
Permission to contact current vet?*
Personal References

Please list 3 personal references (friends, coworkers, neighbors, etc. - no family members, please) and their contact information.*

	Name	Phone Number
Reference One
Reference Two
Reference Three

Long and Short Term Care
Are you aware of the costs of owning an animal?*
Do you commit to taking care of this animal, paying for all medical costs and everyday expenses for the rest of their lives? (Could be anywhere from 15 - 20 years)*
What will you do if your life circumstances change (e.g., moving, changing jobs, financial hardship)?*
Are you comfortable with potential behavioral challenges?*
How will you address behavioral problems?*
Do you travel often for work or personal reasons?*
Rehoming Policy
If at any point you are unable to keep any animal adopted from Your Local Fur Mama, you are not permitted to rehome, surrender, or transfer it to another person, rescue, or shelter. You must contact Your Local Fur Mama (Abigale Madonia) immediately to make arrangements. Do you understand?*
I certify that all information provided in this application is true and accurate to the best of my knowledge. I understand that any false information or omissions may result in the denial of adoption or the revocation of an adoption approval. I acknowledge that Your Local Fur Mama reserves the right to deny any application at their discretion, regardless of qualifications, as part of our mission to prioritize the health, safety, and well-being of our rescues and ensure the best possible match for each animal.

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Adoption Application Form

Living Situation

Employment Information

Pet Ownership History

Personal References

Long and Short Term Care

Rehoming Policy