Adoption Application

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We're so excited that you are interested in adopting! To be considered, please fill out this application with as much detail as possible.

Name of the dog/cat you are interested in adopting? *

Why do you want to adopt? *

Your Full Name *

Address *

City, State, and Zip *

Phone Number *

Email Address *

Call, Text or Email OK or Preferred?

Call Only

Text Only

Email Only

ANY

Drivers License # and State: *

How old are you?

Are you presently employed? If so, what is your employer's name? *

Do you have children in the home? If so, what ages are they? *

Do you live in a house, condo, apartment, mobile home park or other?

How long have you been at your current residence? *

How many people currently reside at your residence? *

Have you discussed pet adoption with all people living with you? *

Is there anyone in your household with allergies or allergic to cats or dogs? *

Do you own or rent? If you rent, are pets allowed? If you rent, you must provide your landlord's name and phone number. *

On a scale of 1 to 10, with 10 being the highest, how loud/busy is your residence? *

Are you willing to transport your animals to appointments? If so, how will you transport them? *

If you have a pickup truck, will the dog be left alone or allowed to ride freely in the bed of the truck? If yes, please explain why.

Do you currently have any pets? If so, please list the type of pet, age of pet, and breed.

Are your current pets spayed or neutered? *

Yes

Are your current pets up to date on current vaccinations? *

Yes

Where will the dog/cat sleep? *

On average, how long will the newly adopted animal(s) be left alone each day (without human company)?
*

What brand of food do you currently feed your pets or plan to feed to the newly adopted animal(s)?
*

Is your yard fenced? If so, how high is the fence and what type of fence is it?
*

Where will the newly adopted animal(s) stay when left alone? (House, room, crate, outside, etc)
*

How do you plan to exercise the newly adopted animal(s)?
*

If adopting a dog, are you willing and able to hire a trainer or attend classes with your new dog/puppy?

If there were emergency veterinary costs, are you willing and able to pay them? Who is your current vet or which veterinary facility do you plan on going to?
*

What provisions will you make for the new animal(s), including budgeting for new expenses such as vaccines, food, and monthly care?

How much time do you have prepared for your newly adopted animal(s) to adjust?
*

What problems or issues would make you return your newly adopted animal(s) to the rescue?
*

If the newly adopted animal(s) does not get along with your other pets, would will you do about it? *

Comments, questions, or concerns?

Do you agree that you will be responsible for the health and welfare of the newly adopted animal(s) in your care and that your personal pets are fully vaccinated and well-socialized before interactions? If so, please write your name and today's date as recognition. *

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