• Animal Adoption Application

    Share your details and home setup to help us find the best match for your next companion.

  • Applicant Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Residence and Household Information

  • Residence Status*
  • Format: (000) 000-0000.
  • Does Your Landlord Allow Animals?
  • Do You Authorize Contact With Your Landlord?
  • People Living in the Home*
  • Are There Children in the Home?*
  • Have the Children Been Taught How to Interact With Animals?

  • Property Information

  • Is the Property Fenced?*
  • Are the Gates Locked?
  • Will the Animal Have Supervised Outdoor Access?*

  • Veterinary Information

  • Format: (000) 000-0000.
  • May we contact your veterinarian?*

  • Current Animals

  • Current Animal(s)*

  • Previous Animals

  • Have you owned animals in the past?*
  • Previous Animals

  • Animal You Wish to Adopt

  • Sex

  • Lifestyle Questions

  • Financial Responsibility

  • Are you financially able to provide routine veterinary care?*
  • Are you financially able to provide emergency veterinary care?*
  • Are you financially able to provide quality nutrition?*
  • Are you financially able to provide supplements if needed?
  • Are you financially able to provide farrier care if adopting a horse?
  • Are you financially able to provide dental care?*
  • Are you financially able to provide behavioral training?
  • Are you financially able to provide special needs care?
  • Are you financially able to provide medication as needed?*
  • Are you willing and financially able to provide lifelong medication if required?*

  • Limitations

  • Do you have any physical, emotional, financial, or personal limitations that may affect lifelong care?*

  • History

  • Have you ever surrendered an animal?*
  • Have you ever rehomed an animal yourself?*
  • Have you ever been denied adoption by another rescue or shelter?*
  • Have you ever had an animal euthanized?*

  • Legal Questions

  • Have you ever been convicted of animal cruelty?*
  • Have you ever been charged with neglect of animals?*
  • Have you ever been convicted of a violent felony?*
  • Have you ever been charged with domestic violence?*
  • Are you currently under investigation for animal welfare violations?*

  • References

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Acknowledgements and Certification

  • Acknowledgements*
  • Certification*
  • Applicant Certification Statement
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Authorization Confirmation
  • Should be Empty: