E-mail Address: * Name of pet you are most interested in:
Your FULL, legal name:
Home Address:
City, State and Zip code
County
Home phone number:
Cell number:
Spouses legal name:
How long have you lived at your current address?
Do you rent or own?
If you rent, landlords name and contact number:
Do you or anyone in your house have allergies?
Yes No Unsure
Full, legal names and birth dates of everyone living in your home: (EXCLUDING children under 18 years of age)
What kind of pets have you owned in the past?
What pets do you have currently living in the home?
Are these pets spayed/neutered?
Yes No Unsure
Have you ever given up a pet?
Yes No
If yes, please explian circumstances:
What member of the family will be primarily responsible for this pet?
Will this pet live inside the home?
Yes No Sometimes Unsure
Where EXACTLY will this pet sleep?
Where EXACTLY will this pet be when left alone?
When you go on vacation, where will your pet go?
If you move where will your pet go? If you rent, what will you do if you can not find a pet friendly apartment?
Vets name and contact number:
Please tell us a little about you and the people living in your home:
The average pet can live up to 20 years, are you willing to make this commitment?
Yes No Depends on Circumstances
Yearly shots average $150, are you willing to pay this?
Yes No Depends on Circumstances
An average trip to the emergency room can cost anywhere from $150-$300. Are you willing to pay this?
Yes No Depends on Circumstances
Is this pet a gift?
Yes No
Reference 1 Name & Number:
Reference 2 Name & Number:
Drivers License #:
If for any reason your new pet is not compatible with your family, you MUST return this pet to us. Do you agree to this?
Yes No Unsure
Have you or anyone living in your home been arrested or convicted of animal abuse?
Yes No Refuse to answer
Birth date: MM/DD/YYYY
Full, legal names and birth dates of everyone living in the home (EXCLUDING children under the age of 18) MM/DD/YYYY
How will you address and/or correct scratching of furniture or other household items?
How will you address and/or correct a cat or kitten that is not litter box trained?
I understand that my adoption donation is a DONATION and is NON-REFUNDABLE.
Yes No
I understand that there is almost always an adjustment period for my new pet. The average adjustment time can vary from 3 days to 3 weeks.
Yes No Unsure
By typing your FULL, LEGAL name in the box, you are stating everything in this application is TRUE. If I have misrepresented any facts my application will be discarded. I understand that adopting a pet is a LIFETIME commitment:
* Required