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
Alternate Phone Number
Date of Birth
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.
Are all of your pets spayed/neutered/fixed?
Are your pets current on their vaccinations?
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
How do you feel about having pets spayed/neutered?
Are you familiar with heartworm and heartworm prevention?
If you have pets, will they adjust to a new pet in the house?
Were any of your pets obedience trained?
Please check the main reason you plan to adopt a pet:
Please describe in detail the pet you are looking for.
Do you own or rent your home?
Have you checked with your Landlord, HOA, and Insurance companies for any rules or regulations on 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 dogs/cats?
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?
How will you handle housebreaking?
How will you handle destructive behavior?
Will you keep the animal up-to-date on vaccinations and heartworm preventative?
Are you willing and able to exercise the dog on a regular basis?
What arrangements will you make for the care of your pets in case of an emergency?
What will you do with the animal when you go on vacation?
For what reason(s) would you consider returning/giving up the animal?
What would you do with your animal if you had to move?
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.