Adoption Application
Pet you are interested in
*
Applicant Information
Name
*
First Name
Last Name
Age
*
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Best Phone to contact you
*
-
Area Code
Phone Number
Phone 2
-
Area Code
Phone Number
Place of Employment
*
Household Information
Names, ages, and relationship to you of all household members
*
Do all household members agree with adopting a pet?
*
Who will be the pets primary caregiver?
*
Do you live in a
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House
Apartment
Condo
Other
Do you
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Own
Rent
If you rent, please provide the name and phone number of your landlord
Does your landlord allow pets?
Yes
No
Are there any restrictions from your landord, subdivision or city?
*
Do you have a fully fenced yard?
*
Yes
No
If yes, height & type of fence.
*
How many adults are in your household?
*
How many children are in your household?
*
If there are children, what are their ages?
Have the children been araound pets before?
Does anyone in the household have allergies to pets?
*
Yes
No
If yes, how is it managed?
Back
Next
Current Pet Information
List all current pets and if they are spayed/neutered. (type N/A if there are none)
*
Name, age, breed, if spayed or neutered
List all pets you no longer have (type N/A if there are none)
*
Name, breed, what happened to them (died, gave away, etc)
Have you ever adopted from a shelter/rescue before?
*
Yes
No
Have you ever given up a pet?
*
If so, what were the circumstances?
Please provide the Name & Phone number of your current/previous vet (type N/A if there is none)
*
What type of personality are you looking for in a new pet?
*
Active
Calm
Couch potato
Protective
Other (please specify)
If you chose Other, please specify here.
How many hours a day will your new pet be left alone?
*
Where will your new pet be while you are away and at night?
*
How will you supervise your pets outside time?
*
What length of time will you give your new pet to adjust to his new home?
*
Are you willing to work through any issues your new pet may have?
*
Yes
No
Do you understand that a pet may be a 15 - 20 year commitment and can cost $300 - $600 a year to care for?
*
Yes
No
If adopting a dog, will be willing to attend obedience classes for him/her if needed?
*
Yes
No
Not sure
N/A
What circumstances would lead you to give up your new pet?
*
If you had to give up a pet, what would you do with him/her?
*
How did you find out about Diva's Wish?
*
Is there anything else you think we should know?
Submit
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