Application

Please tell us why you would like to adopt a pet*
In what type of housing are you currently living?*
- House
- Apartment
- Condo / Townhome
- Trailer
- Other
Do you own your home or rent?*
- Own
- Rent
- Other
Are you planning to move in the next 6 months?*
- Yes
- No
I'm adopting for:*
- Myself
- Other
5. Please list below all the people (starting with yourself) that your new companion will be living with:*
Name Age Relationship

click the + or - buttons to add or remove rows
6. Will the whole family share in the care of this pet?*
- Yes
- No
Comment
Are there children that visit your home frequently?*
- Yes
- No
Ages of Children / Comment
8. Who are regular visitors to your home, human or animal, with which your new companion must get along:*
Is there any member of your household who is allergic to pets?
- Yes
- No
Which pet(s) are they allergic to?
- Dog
- Cat

What will happen to this pet if your move for any reason?*
How many hours during the average work day will this pet spend without a human?*
What kind of behaviors do you find unacceptable in a pet?*
How will you deal with behavior issues?*
What will happen to this pet when you go on vacation or in case of an emergency?*
Vet's Name*
In order to proceed with the application, you must provide vet history on your current or past pet(s).
Address
Phone

List the pets you have now, as well as your past pets.*
Species & Breed Neutered / Spayed? Owned for how long? If no longer with you, why?
Do you want this pet to be (select one):*
- Inside only
- Outside only
- Inside / Outside
- Not sure
Comment
Where will your pet be kept during the day?*
Where will your pet be kept during the night?*
Where will your pet be kept when you're not home?*
For Cats, what do you know about feline leukemia and FIV?*
If not applicable, type "NA"
Do you plan on declawing your cat?*
- Yes
- No
- Not applicable
For Dogs, what do you know about heartworms and heartworm prevention?*
If not applicable, type "NA"
Do you have a fenced in backyard?*
- Yes
- No
What type of fence?
Do your gates have locks?
- Yes
- No
Comment
Authorization*
- I certify that the above information is true and correct.
Applicant Signature*
Type your full name
Applicant Signature
Type your full name
Email
This field is for validation purposes and should be left unchanged.

Application for Pet Adoption