Adoption Application
Please complete and submit this adoption application if you are interested in adopting one of our rescue animals.
Email address *
Name of Pet(s) you wish to adopt and Type (for example: Maggie Dog, Carli Cat)
Your Full Name
Address (Street, City, State, Zip)
Phone Number (with Area Code)
Email Address
Preferred Contact Method
Please provide your current or future Veterinarian Name And Contact Number.
Occupation(s) of Adult Adoptee(s)
Age of all family members in adoptee's home.
Does every member of the household agree to adopt the pet(s)?
Clear selection
Does any member of the household suffer from pet allergies?
Clear selection
Are You Willing To Take Your Adopted Dog(s)To Obedience Classes? N/A For Cat(s)
What types of behavior problems would you consider not acceptable in your adopted pet(s)?
Are there other pets in the home?
Clear selection
If Yes, provide breed, age, gender, spayed/neutered...
If yes, are they vaccinated?
Clear selection
If yes, do these animals have ANY known agression or fear behavior?
Clear selection
What is your current housing situation?
If you are renting, please provide the landlord's name and contact phone number. If not renting please type N/A.
If you are renting, does your rental have any breed restrictions?
Clear selection
How will your dog receive exercise? Question does not apply to cats.
Describe how the animal will live in your home (for example, indoor pet, outdoor pet, hunting dog, therapy, security)
Where will the pet(s) be kept when no one is home? (examples - crate, outdoor kennel, pen, loose indoors?
Will the pet(s) be home alone at any time. If so, for how many hours?
Have you ever given up a pet? If yes, please explain what happened.
What circumstances, if any, would justify re-homing a pet?
Pets are an investment of time and money. Are you able to provide medical care, proper diet, adequate shelter, grooming, training, exercise?
Please provide two personal references, not related to you, and their contact information.
Is there anything else you would like us to know that has not been mentioned above?
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