Adoption Application

• Name of the pet you are applying for *

• First name *

• Last name *

• Address *

• City *

• State *

• Zip code *

• Email *

• Best phone # to reach you *

• Alternative phone #

• Why do you want to adopt a pet?

• Adopting for? *

  Yourself   Someone else

• Info about your current pets

• Pet 1 - Type

• Pet 1 - Name/Age

• Pet 1 - Gender

• Spayed/Neutered?

  Yes   No

• Pet 2 - Type

• Pet 2 - Name/Age

• Pet 2 - Gender

• Spayed/Neutered?

  Yes   No

• Pet 3 - Type

• Pet 3 - Name/Age

• Pet 3 - Gender

• Spayed/Neutered?

  Yes   No

• Please tell us about your past and current pets

• Please provide your vet name/address/phone number

• Do you give us consent to check your vet references? *

  Yes   No

• Household Info

• How many people reside in the household?

  123456+

• Resident 1 - Name/Age/Relation

• Resident 2 - Name/Age/Relation

• Resident 3 - Name/Age/Relation

• Resident 4 - Name/Age/Relation

• Does anyone in your home have allergies to pets?

  Yes   No

• Does everybody in the home want to adopt a pet?

  Yes   No

• Who will be responsible for the daily care and training of the pet?

• What type of home do you live in?

  Single family   Condo   Apartment

• Do you own or rent your residence?

  Own   Rent

• If you rent please provide your landlords name and phone #

• Will someone be home during the day? If so, who?

• How frequently will adults be away on trips?

• General Info

• Where will your pet be kept when on vacation?

  Home   Pet sitting service   Will board at kennel   Other

• Where will your pet sleep at night?

• What kind of diet do you plan to feed your pet?

  Dry   Wet or canned   Table or people food   Raw diet

• What brands of food do you plan to use?

• Dog Specific Questions

• What made you choose this specific dog?

• How many hours will the dog be left unattended

• Describe where the dog will stay during the day

• How much time outside will the dog spend each day?

• Do you have a fenced in yard?

  Yes   No

• If yes please describe the fence type and height

• What training will you do with your dog?

• How do you plan on exercising your dog?

• Cat Specific Questions

• Describe when the cat will be allowed outdoors

• Do you plan to declaw this cat?

  Yes   No

• Additional Info

• Non-family Reference 1 - Name/Number/Relationship *

• Non-family Reference 2 - Name/Number/Relationship *

• How did you hear about this pet?

• Additional information you would like us to know