Adoption Application

Adoption Application - CCAR

Animal you are interested in adopting If the animal you are looking for is not on this list, you can still apply! Some animals are not quite ready, but they will be soon! Please write the name of the animal you are interested in in the next box.
Animal you are interested in if not listed above:
Have you already met this animal? If so, where?
Applicant's First Name *
Applicant's Last Name *
Street Address *
City *
State *
Apartment Number (if applicable)
Zip Code *
Email Address * Please enter correctly as this is the main way we will contact you
Primary Phone Number *
Date of Birth *
Is this pet for you or someone else? *
Do you own other pets at the current time? *
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed? *
How many pets have you owned in the last 5-10 years?
What happened to them?
Are your pets current on their vaccinations?
Have you ever turned your dog or cat into a shelter? *
If yes, please explain?
Veterinarian's Name If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Zip Code Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
Have you ever had a pet euthanized?
If yes, please explain:
If you have pets, will they adjust to a new pet in the house?
Please describe in detail the pet you are looking for.
Do you own or rent your home? *
Please select your current residence type.
If you rent, does your landlord and lease allow pets?
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home.
On average, how many hours per day will your pet be left alone?
Will this pet be predominantly living inside, outside, or both? *
Please provide a description of this pet's living conditions.
Do you have a completely fenced-in yard?
If you do not have a fenced yard, how will you let the animal out?
Where will the animal sleep?
If you answered "other" above, please explain:
Have you ever been convicted of abuse or neglect of a child or animal? *
If yes, please explain:
What will you do with the animal when you go on vacation?
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the animal?
Are you willing to take responsibility for this animal for the next 10-20 years? *
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. *