• Adoption Application

  • This questionnaire is designed to help Elmira Animal Shelter and yourself determine if a specific pet is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Elmira Animal Shelter reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions! Applications must be filled out and submitted by the potential adopters themselves.  Applications filled out for other people will not be accepted. 

  • Applicant Information

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  • Household Information

  • Are all members of your household in agreement with this adoption?*
  • Do you live in a*

  • Do you own or rent?*
  • Are there any restrictions from your landlord or subdivision?*
  • Does your landlord allow dogs?
  • Do you have a fully fenced yard?*
  • Do you plan on getting this pet spayed/neutered if not already?
  • Have your children been around animals before?
  • Does anyone in your home have allergies to animals or have asthma?*

  • Current/Previous Pet Information

  • Have you adopted from an animal welfare group before?
  • Have you ever given up a pet?

  • New Pet Information

  • Are you aware of crate training?*
  • Have you ever house-broken a dog or puppy before?*
  • Are you willing to work through your new pet's issues, if any?*
  • Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*
  • Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for?*
  • Do you plan to take an obedience class with your dog?*
  • Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*
  • I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
  • Should be Empty: