Adoption Application

Your Full Name

Email Address

Name of Pet You Are Applying For (Leave blank if unsure)

Street Address

City, State, and Zip

Phone number

What is your date of birth?

How long have you thought about getting a pet?

Are you interested in a dog, cat, puppy, or kitten?

What size pet would you like?

Is there a particular breed or type of pet you are interested in?

Please tell us about your last three pets. What was pet number 1, a dog, cat, etc?

What breed was pet number 1? (i.e., Chihuahua, mix, Siamese)

Was pet number 1 spayed or neutered?

Was pet number 1 kept up to date on vaccinations?

Was pet number 1 kept indoors or outdoors?

Where is Pet Number 1 now?

What was pet number 2?

What breed was pet number 2?

Was pet number 2 spayed or neutered?

Was pet number 2 kept up to date on vaccinations?

Was pet number 2 kept indoors or outdoors?

Where is Pet Number 2 now?

What was pet number 3?

What breed was pet number 3?

Was pet number 3 spayed or neutered?

Was pet number 3 kept up to date on vaccinations?

Was pet number 3 kept indoors or outdoors?

Where is Pet Number 3 now?

Have your present and past dogs been on heartworm preventative? If yes, what kind?

Do you own your home? Do you own your home? Yes No

Do you have a fenced yard, and if so, what type & how high?

How long have you lived in your current home?

If less than 3 years, where did you live before?

List the ages of any children in your home

Do you or your spouse's job require you to relocate, and if so, how often?

If you had to relocate, what would you do with your pet?

Who will be the primary caregiver for your new pet?

How many hours per day will the pet be home alone?

How will you exercise your pet?

How will your pet share your free time activites?

What arrangements would you make for your new pet if you go on vacation?

Please describe the most important characteristics you are looking for in a pet such as active, good with children etc. Please be as specific as possible so we can find the best match between you and our pets.