Adopt a Pet Application

Pet Adoption Application

NO ADOPTION IS FINAL UNTIL ADOPTION FEES HAVE BEEN PAID.

WE DO NOT HOLD ANY ADOPTABLE PETS FOR ANY LENGTH OF TIME.

I am interested in adopting:

Name

Address

Home Phone

Cell Phone

Employer's Name/Phone:

Are you between the age of 18 and 65?

Yes

Do you have any children?

Yes

If yes, how many? What ages?

Do you currently rent or own?

If renting, are pets allowed?

Yes

May we contact your landlord?
If yes, NAME:
PHONE:

How long have you been at your current residence?

Do you have fencing around your home?

Yes

If yes, what kind/how high?

Do you plan on keeping this pet indoors, outdoors, or both?

Would you allow a home visit by our staff?

Yes

Is anyone in your household allergic to pets or pet products?

Yes

Do you own any other pets?

Yes

If so, how many?

Multiple choice

Canine

Feline

Other

Who is your current Veterinarian?

May we contact them?

Yes

Vet phone:

Are you interested in obedience classes if adopting a canine?

Yes

What is the purpose for adopting this pet?

Clinic Use Only: Pet Name on Intake:____________________________ Sex:_____Age:____
Name Given by New Owner:_______________________________Approval for adoption: ____ Fees Collected: ________Date:______________________