1. Adoption Application

Animal you are interested in adopting
Applicant's First Name
Applicant's Last Name
Street Address
City
State
Apartment Number (if applicable)
Zip Code
Phone Number Please use the following format 248-555-1212
Email Address Please enter correctly as this is the main way we will contact you
Date of Birth
Drivers License Number
How did you find out about us?
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.
If you had past pets, what happened to them?
Have you ever turned an animal into a shelter?
If yes, please explain?
Veterinarian's Name, Address, City, State, and Zip Code If you have never owned a pet or exotic pet please list where you would go
Have you ever had a pet euthanized?
If yes, please explain:
How will your current pets (if any) adjust to new animal?
What is the main reason you plan to adopt
If you answered "other" above, please explain here:
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 answered "other" above, please explain here:
How long have you lived at this address?
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.
Is everyone in your household aware that you are planning to adopt a pet?
Does anyone in your household have allergies to animals?
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?
Please provide a description of this pet's living conditions.
How will you handle destructive behaviour?
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:
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 their lifetime?
If no, please explain:
Please show us your cage setup
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.