York Adopt-A-Pet Adoption Application
By submitting this form, I certify all the information I provided is true. I understand giving false information is grounds for denying my application. I understand that in some cases a home check or verification of residency may be mandatory prior to the animal’s adoption. I understand and agree YAAP may demand the return of the animal for any violation of the terms of the adoption contract and agreement.
Email address *
Are you interested in a cat or a dog *
The name of the animal you are interested in *
Your answer
Your Name *
Your answer
Your Address *
Your answer
City, State and Zip Code *
Your answer
Phone Number *
Your answer
Age of the person applying to adopt
Current Employer with Address and phone number
Your answer
Would you like to receive emails of upcoming events?
How did you hear about York Adopt-A-Pet?
Your answer
Type of residence:
If Other (explain):
Your answer
Do you own or rent:
How long have you lived at this residence?
Your answer
Landlord's Name and Phone Number
Your answer
Number of adults in the home:
Your answer
Number and ages of children in the home:
Your answer
Have you adopted from us before?
If yes, when/whom?
Your answer
Who will be the primary caregiver for your new pet?
Your answer
How much one-on-one time do you plan on spending with your new pet?
Your answer
Walking/Exercising:
Your answer
Do you have any other pets, If yes, list number and type:
Your answer
Who is your current vet and Your Vets Address & Phone:
Your answer
Are your pets spayed/neutered?
Why do you want this particular animal?
Your answer
How will you correct your animal if it misbehaves?
Your answer
What behaviors do you find unacceptable in pets?
Your answer
Have you ever relinquished an animal? If yes, to whom & reason
Your answer
For what reason would you surrender an animal?
Your answer
For adopting a dog, do you have a completely fenced yard? What Type and How High For adopting a cat please enter N/A
Your answer
Do you plan on declawing, removing dewclaws, or any other altering of your new pet?
Your answer
What is the longest period your pet will be left alone?
Your answer
Are all members of your household in favor of adopting a pet?
List one person for reference
Your answer
Relationship of reference
Your answer
Phone for reference
Your answer
You accept these terms by placing your name below: *
Your answer
Your Email *
Your answer
Date Submitted *
MM
/
DD
/
YYYY
Thank You for supporting shelter animals
By submitting this form, I certify all the information I provided is true. I understand giving false information is grounds for denying my application. I understand that in some cases a home check or verification of residency may be mandatory prior to the animal’s adoption. I understand and agree YAAP may demand the return of the animal for any violation of the terms of the adoption contract and agreement.
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