Adoption Application What type of animal do you want to adopt?* Cats Dogs Name of cat you're applying forName of dog you're applying forYour InformationName* First Last Best Contact Phone Number*Email Address* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Current Living EnvironmentDo youOwnRentDo you live in a:HouseApartmentCondoTownhomeMobile HomeHave you met the necessary requirements set by your landlord to adopt?*YesNoWho is your landlord?*Please provide your landlord's contact information*Do you have a fenced in yard?*YesNoWhat is the fence type?WoodChain LinkHow high is the fence?Please list name and age of each family member (including yourself)Are any family members of your household allergic to pets?YesNoAnimal ExperienceWhat is your reason for adopting this animal? Companionship / Family Pet Hunting Watchdog Gift Company for other pet Child's Pet Other Do you currently have cats or dogs in your home?*YesNoPlease list their name, breed, age and temperament with other cats or dogs.Your Veterinarian's Clinic Name*If you have no animals in the home, please list the Veterinarian you intend on using?Your Veterinarian's Clinic Phone Number*Are your animals up to date on flea/tick/heartworm preventative and all appropriate vaccines (especially bordetella?)YesNoWhere do your current pets spend most of their time?Do you believe in crate training, if yes, how many hours per day will the dog be kept in a crate?Where will the new animal stay while you're not home?How many hours per day will the dog be left unattendedWhere will the new animal sleep?Will your new animal being kept in a garage, outside, or basement?Do any of your pets live mostly outdoors?YesNoAre all current pets in the home spayed/neutered?YesNoAre you willing to potty train?YesNoAre you willing to crate train?YesNoWill you declaw the new cat?YesNoHow soon would you like to start trial with the animal if the meet goes well?If the animal you are interested in is adopted by another family, are you open to learning more about another animal?YesNoPlease tell us about the type of animal (breed, gender, age, personality, temperament, etc) you are looking for so we can better match you with options.What else should we know?Legal Signature*Typing your name will serve as legal signature. By signing, I am attesting to the truthfulness of my answers. Falsification of any of the above information may result in an automatic rejection of application.PhoneThis field is for validation purposes and should be left unchanged.
