Name of animal you're applying for
Breed/Description
Your Name
First Name
Last Name
Physical Address
*
Mailing address (if different)
Phone
*
(###)
###
####
Email
*
Why do you want to adopt a pet?
Is this your first experience with a family pet?
*
Yes
No
Briefly describe your experience with pets.
Who lives in your home currently?
*
Just me
Spouse/Partner
Children
Roommates
Other
If there are children in the home, what ages and how many?
Do you own or rent your home?
*
Own
Rent
Other
How long have you lived at your current address?
Provide name, address, and phone number of landlord, if rental.
*DOGS ONLY* Do you have a fenced yard?
Yes
No
*DOGS ONLY* Please provide material and height of fencing. If you do not have a fenced yard, please provide information on how you plan to confine and exercise this dog.
*DOGS ONLY* Do you crate train or are you willing to crate train?
Yes
No
Maybe
*DOGS ONLY* How many hours per day will this dog be left home alone, and where will it be kept?
Are you aware of the licensing laws in your town or city and do you agree to get this pet licensed?
*
Yes
No
Veterinary care is an essential aspect of pet ownership. Are you able to afford annual vaccines and other essential care (flea and tick treatment, worming, etc.) as well as quality food? Please explain your ability to make a financial commitment for the life of this pet.
*
Please list all the pets you currently own. Give their breed, age, sex and if spayed or neutered.
*
Please list at least two personal (non-related) references with email and phone numbers.
If you currently own pets, please provide the name and contact information of your current veterinarian.
Are you willing to allow us to do a home visit prior to adoption?
Yes
No
Is there anything else we should know about your ability to provide this pet a forever home?
