Adoption Application
Please note, we only consider local adoptions at this time.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email
Spouses Name
First Name
Last Name
Spouses Cell Number
Please enter a valid phone number.
Format: (000) 000-0000.
Spouses Email
Personal Reference
Relationship
Reference Phone Number
You must be over 21 to adopt. Are you 21 or older?
Yes
No
Are you interested in adopting a:
Cat
Kitten
Other
Name of animal you are interested in adopting:
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To ensure that this adoption is in the best interest of both you and the pet, please answer the following questions:
1. Have you ever owned a cat / dog before?
Yes
No
2. Please tell us why you would like to adopt a pet?
3. Do you live in a:
House
Apartment
Condo
Mobile Home
Other
Do you:
Rent / Lease
Own
Live with family
Other
Landlord Name & Phone Number
if other, please explain:
4. Are you planning to move in the next six (6) months?
Yes
No
If yes, where?
5. I am adopting this pet for:
Myself
Children
Gift
Breeding
Other
if other, please explain.
6. Please list below all the people your new companion animal will be living with: Name - Age - Relationship
7. Does the entire family agree to the adoption of this pet at this time?
Yes
No
8. Are there any children that visit your home frequently?
Yes
No
If yes, what are their ages?
9. Are there any regular visitors to your home, human or animal, which your new companion must get along with?
Yes
No
If yes, describe:
10. Are any members of your household allergic to cats or dogs?
Yes - Cats
Yes - Dogs
No
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11. What will happen to the animal if you move unexpectedly?
12. How many hours during an average day will your new pet spend alone?
13. What kind of behavior (from the animal) do you find unacceptable?
14. Do you plan to declaw your new pet?
Yes
No
Unsure
Under what conditions would you consider declawing and why?
15. What will happen to this pet if you go on vacation or in case of an emergency?
16. Do you have a regular veterinarian?
Yes
No
Name & Number of you veterinarian:
17. Do you currently have any cats, dogs or any other type of animal?
Yes
No
Please list current animals below: Type of animal Breed Spayed / Neutered Owned for how long
18. Have you had any pets in the past?
Yes
No
Please list past animals below: Type of animal Breed Spayed / Neutered Owned for how long
19. Have you ever rehomed, given away, sold or turned an animal in to a shelter?
Yes
No
if yes, please explain:
20. Do you want this new animal to be:
Inside only
Outside only
Inside / outside
Cage
Garage
Not sure
21.Where will this animal be kept during the day?
22. Where will this animal be kept at night?
23. Where will this animal be kept when you're not at home?
24. Does your home have a pet door (dog door)?
Yes
No
25. How often do you plan to take your new pet to the vet?
26. How much do anticipate to spend on routine vet care annually? This does not include emergency vet care.
27. How much do you consider too much to spend on vet care, including routine and emergencies?
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I certify that the above information is true and understand that false information may result in nullifying this adoption.
(Completing an adoption application does not guarantee you will be approved to adopt from us)
Applicant Signature
Date
-
Month
-
Day
Year
Date
WE RESERVE THE RIGHT TO REFUSE AN ADOPTION!!! We do NOT have to give a reason or explanation.
Thank you for completing the adoption application. Please give us some time to review it.
Submit
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