Canyon Lake Animal Shelter <br>Pre Adoption Application

Pre Adoption Application

Applicant's First Name *
Applicant's Last Name *
Email Address * Please enter correctly as this is the main way we will contact you
State *
City *
Street Address *
Apartment Number (if applicable)
Zip Code *
Phone Number * Please use the following format 248-555-1212
Alternate Phone Number
Date of Birth *
How did you find out about us?
Animal you are interested in adopting *
Have you applied anywhere else for a pet? *
If yes, where else have you applied for a pet?
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? *
Where any of your current or previous pets rescues? *
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 *
How do you feel about having pets spayed/neutered? *
Are you familiar with heartworms and heartworm prevention? *
If you have pets, how do you think they will they adjust to a new pet in the house? *
Were any of your pets obedience trained? *
If you answered "other" above, please explain here:
Please describe in detail what type of pet you are looking for to include breed(s), weight limit, age range, gender preference, energy level etc. *
Do you own or rent your home? *
Please select your current residence type. *
If you answered "other" above, please explain here:
How long have you lived at this address? *
Do you plan to move soon? *
Please list the ages & relationship of those who live in your home. *
Is everyone in your household aware that you are planning to adopt a pet? *
Does anyone in your household have allergies to dogs/cats? *
Employment Status *
If you are employed, what is your current occupation?
On average, how many hours per day will your pet be left alone? *
How much do you think the annual medical bills will be for your pet? *
What would you do if the bills went over this amount? *
Will this pet be predominantly living inside, outside, or both? *
Do you have a completely fenced-in yard? If so, what kind of fence? *
If you answered "other" above, please explain:
If you do not have a fenced yard, how will you provide exercise? *
Are there times when the animal will be tied/chained up? *
If yes, when will they be tied/chained up?
Where will the animal sleep? *
If you answered "other" above, please explain:
Will the animal spend any time in the garage? *
If the animal will spend time in the garage, please explain when/why:
How will you handle housebreaking? *
How will you handle destructive behavior? *
Will you keep the animal up-to-date on vaccinations and heartworm preventative?
If no, please explain:
Are you willing and able to exercise the dog on a regular basis? *
If yes, what is the method of exercise? *	Walking Running Dog Park / Dog Run Other
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 arrangements will you make for the care of your pets in case of an emergency? *
If you answered "other" above, 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? *
What would you do with your animal if you had to move? *
If you answered "other" above, please explain:
Are you willing to take responsibility for this animal for the next 10-20 years? *
If no, please explain:
Please check the main reason you plan to adopt a pet: *
If you rent, can you provide documentation showing your lease allows pets?
Please provide your landlord's name and phone number
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. *