Application to Adopt a Pet

Instructions

Please read this application, fill in the blanks, and submit the application so that our staff may review it. The information that you provide in this application and during our interview will help us find a good match for you.

Please note: This adoption form will take about 10 minutes to complete.

First name

Last name

Address

City

State

ZIP

Phone

Your email

Occupation

Your typical work hours

Are you 21 years of age or older?

*PLEASE DESCRIBE THE KIND OF PET YOU ARE INTERESTED IN ADOPTING:

Pet's name

Age

Sex

Reason for sex preference

Breed/Mix

Size

Coloring

Why do you want to add this pet to your household?

Will you commit to caring for this pet throughout its life?

Have you owned this breed/mix before?

*OTHER PETS IN YOUR HOUSEHOLD:

Do you have any other animals in the household?

Please describe all animals in the home: species/breed/age

Are there any physical, behavioral or dominance tendencies that should be considered when incorporating a new pet into your home? If so, please list.

*YOUR HOME:

Do you have children in your household?

Are there other adults living in the home?

Full Name of Other Adult(s)

Relationship (roommate, partner, etc)

Occupation(s)

Typical Work Hours

Do you own or rent your home?

What is your landlord's name?

What is your landlord's phone number?

If you rent, do you have permission to have a dog?

Is your home a...?

Do you have a backyard?

Does your community have any pet restrictions?

How will your new pet spend its days?

How will your new pet spend its nights?

Locale

We are a small volunteer-run organization, and it may take up to 72 hours to respond to applicants. Thank you for your understanding.