CARE Adoption Application
First name
Your answer
Last Name
Your answer
Co-Applicant's Full Name & Phone Number
If the applicant is under 22 years of age, a co-applicant who is at least 30 years old is REQUIRED. The co-applicant must agree to being financially responsible for the pet and over-seeing all care. If the applicant becomes unable to care for the pet at any time, the co-applicant will need to take complete responsibility for the pet.
Your answer
Address
Your answer
Date of Birth
Your answer
Primary Phone Number
Your answer
Alternate Phone Number
Your answer
Email Address
Your answer
Which animal are you looking to adopt?
Your answer
I have verified that this animal is listed as adoptable on the website.
CARE is unable to accept adoption applications for animals that are not currently listed on the website. Your application will not be processed if the animal is not listed on the website. You will have to resubmit another application after they are listed.
Why are you interested in adopting this pet?
Your answer
If you are considering adopting a "special needs" pet, do you have experience with special needs animals? If so, please explain.
Your answer
Number of people in your household?
Your answer
Ages of children in household (if any)
Your answer
Do you own your home?
Your answer
If renting, please give the name and phone number of your landlord.
Your answer
Where will the pet be kept?
What type of shelter is outside?
Your answer
What type of fenced area do you have and how high is the fence?
Your answer
Please list what types of pets you currently have and how many of each.
Your answer
Are they all spayed/neutered?
Your answer
How many pets have you owned in the past three years?
Your answer
Do you still have them? If not, what happened to them?
Your answer
If you have a dog or cat, what type of heartworm prevention are they on?
Your answer
If you have a dog or cat, have then received vaccinations within the past year?
If you have a cat, have they tested negative for FIV & FeLV?
If your pet has received vaccinations, who administered them?
Your answer
If you are applying to adopt a cat, do you plan to have this cat declawed?
If you are applying to adopt a dog, do you plan to have any cosmetic surgeries (tail docking, ear cropping, etc) performed on this pet?
If you have had pets, or currently own pets, we need to contact your veterinarian as a reference. Please list the name and phone number of your veterinarian below.
By submitting this form, you are giving us permission to ask your veterinarian questions regarding your previous/current pets' medical records.
Your answer
Do you have any roommates? If yes, please provide their name(s) and phone number(s).
Your answer
The average estimated cost of owning a dog or cat in the US is $800-$1000 for the first year and $500-$800 each year thereafter. Are you prepared to financially provide for the pet you are planning to adopt?
How did you hear about CARE?
Required
Reference #1: Full Name
Do not list family members as a reference. Doing so will delay the processing of your application as we will contact you for an alternative reference before approving the application.
Your answer
Reference #1: Relationship
Do not list family members as a reference. Doing so will delay the processing of your application as we will contact you for an alternative reference before approving the application.
Your answer
Reference #1: Phone number
Do not list family members as a reference. Doing so will delay the processing of your application as we will contact you for an alternative reference before approving the application.
Your answer
Reference #2: Full Name
Do not list family members as a reference. Doing so will delay the processing of your application as we will contact you for an alternative reference before approving the application.
Your answer
Reference #2: Relationship
Do not list family members as a reference. Doing so will delay the processing of your application as we will contact you for an alternative reference before approving the application.
Your answer
Reference #2: Phone Number
Do not list family members as a reference. Doing so will delay the processing of your application as we will contact you for an alternative reference before approving the application.
Your answer
Thank you so much for your interest in CARE!
We will work as quickly as possible to review your application and we will contact you once our board as made a decision. If you have any questions, or have not heard from us within 10 business days, please call (850) 385-8181
If you would be interest in volunteering with CARE, please check the box below and we will forward your contact information to our volunteer coordinator.
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