Pre-Adoption Application
Which animal are you interested in? *
Your Name(s): *
Home Phone:
Work Phone:
Cell Phone:
E-mail: *
Address:
City:
State:
Zipcode:
Are you at least 18 years old? *
Please list all human members of your household, including ages of any children and any allergies to animals:
Does everyone in your household want to adopt this pet?
Please describe all animals currently in your household:
Have you had any pets that are no longer with you?
If so, what happened and where are they now?
Which of the following best describes your home?
Do you own or rent?
If you rent, what are the rules regarding pets in your rental?
Why are you considering adding a companion to your family at this time?
Why are you interested in this particular pet?
If you are applying for a dog, which best describes the activity level you are looking for?
Do you anticipate any changes in your life that would keep you from providing this pet a home for the rest of his/her expected life span?
If you answered "Yes" or "Possibly" above, please elaborate.
Please describe your plans for ensuring this pet is cared for if you are no longer able to keep him/her:
Vet name, clinic, and phone number (we may contact your vet for a reference):
Please send me Hill’s® Science Diet® discount coupons and special offers by e-mail.
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