Adoption Application
What type of animal are you applying to adopt?
*
Cat
Dog
Other
Animal Name: (or what type of animal)
*
Your general information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of birth
*
-
Month
-
Day
Year
Date
Phone Number
*
-
Area Code
Phone Number
Can we text you on this number?
*
Yes
No
Email
*
example@example.com
Occupation:
*
Employer:
How many adults live in the house?
*
How many children live in the house?
*
Ages of the children?
*
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About your home
Type of dwelling
*
House
Apartment
Condo
Trailer
Other
Do you rent or own your home?
*
Rent
Own
Do you have landlords permission to get a pet?
Landlord information is REQUIRED if you rent - if not completed, your application will NOT be considered.
Landlord's name:
Landlord's phone number (required if renting):
Please let your landlord know that we will be contacting them to verify that you have permission to adopt.
Do you have size restrictions?
Only if renting
Do you have a fenced yard?
*
Yes
No
If no, how do you plan to keep dog in the yard/safe?
Answers required only if applying for a dog.
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Your current pets
Vet information is required if you have a current pet - you can use previous vet if you do not have current pets - please just provide us with your previous pet's name.
How many pets do you currently have?
*
Remember to check the limits in the city/county you reside within as we can not adopt a pet to you if you already exceed this limit.
Current Vet:
*
Please call your vet and verify that your pets are UTD on their vaccines. Also, please notify them that we may be calling and give them permission to speak to us in order to verify this as well. We will also be verifying that all pets in the home are spayed or neutered.
Vet's phone number for reference:
*
-
Area Code
Phone Number
Pet #1
If you have no pets, you can skip these. If you do have pets, you must answer ALL applicable questions or we will not follow up on your application.
Name:
Type of animal:
Age:
Sex:
Male
Female
Is your pet spayed or neutered?
Yes
No
If not altered, why not?
Is your pet UTD (up-to-date) on all vaccinations?
Yes
No
Where did you get your pet?
How long have you had the pet?
Does the pet have any temperament issues?
Yes
No
If yes, explain.
Does the pet have any health issues?
Yes
No
If yes, explain.
Pet #2
Name:
Type of animal:
Age:
Sex:
Male
Female
Is your pet spayed or neutered?
Yes
No
If not altered, why not?
Is your pet UTD on all vaccinations?
Yes
No
Where did you get your pet?
How long have you had the pet?
Does the pet have any temperament issues?
Yes
No
If yes, explain.
Does the pet have any health issues?
Yes
No
If yes, explain.
Pet #3
Name:
Type of animal:
Age:
Sex:
Male
Female
Is your pet spayed or neutered?
Yes
No
If not altered, why not?
Is your pet UTD on all vaccinations?
Yes
No
Where did you get your pet?
How long have you had the pet?
Does the pet have any temperament issues?
Yes
No
If yes, explain.
Does the pet have any health issues?
Yes
No
If yes, explain.
Pet #4
Name:
Type of animal:
Age:
Sex:
Male
Female
Is your pet spayed or neutered?
Yes
No
If not altered, why not?
Is your pet UTD on all vaccinations?
Yes
No
Where did you get your pet?
How long have you had the pet?
Does the pet have any temperament issues?
Yes
No
If yes, explain.
Does the pet have any health issues?
Yes
No
If yes, explain.
Have you ever had to surrender a pet?
*
Yes
No
If yes, why?
If you have more pets, or would like to add other information about previous pets, please enter all information here.
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Your new pet
Who will be responsible for the care of the pet?
*
What is the primary reason for adopting a pet?
*
Companion
Protection
For kids
Hunting
Other
Where will the pet stay while you are home?
*
Anywhere in the home
Outside
Crate
Other
Where will the pet stay while you are NOT home?
*
Anywhere in the home
Outside
Crate
Other
How many hours will the pet be alone daily?
*
What do you expect your yearly expenses associated with your new pet to be?
*
For what reason would you consider returning your new pet?
Divorce
Moving
New baby
Chewing
Excessive barking
Digging
Shedding
Grew too big
Allergies to pet
Aggression
Medical expenses (for pet)
Death of family member
Death (yourself)
Other
In the case that you’re no longer able to care for your pets (medical emergency/death/ etc) do you have a plan for your pets?
Yes
No
In the case that you’re no longer able to care for your pets (medical emergency/death/ etc) who would take on your pets?
They must know about this plan to be listed.
Emergency caretaker phone number:
-
Area Code
Phone Number
Do you plan to enroll your pet in training classes?
*
Yes
No
Other
Do you plan to declaw? Must provide answer if applying for a cat.
*
Yes
No
Other
Will your cat be allowed outside? Must provide answer if applying for a cat.
*
Yes
No
Other
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Application Donation
A $10 donation is suggested. When you click submit, you will be redirected to a PayPal page to complete this step.
Application donation:
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( X )
USD
Donation: At this point, you are able to make a donation in support of our rescue work. Donations are non-refundable. This does not ensure that your application will be approved. If you are chosen to adopt, this amount can be applied to your adoption fee. This application can cross over to other adoptable cats if a cat application or dogs if a dog application - if your application is approved, but the specified animal is not a good fit, or is no longer available, you will be considered for other adoptable animals. Only one application needs to be filled out per person unless you are considering a dog and a cat - then one of each application must be completed. If you do not wish to donate at this time, it is not required. Thank you.
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