St. Mary's Animal Welfare League
Online Adoption Application
www.smawl.org
P.O. Box 1232
Leonardtown, MD 20650
301-373-5659
Online Adoption Application
SMAWL Adoption Application
Type of Animal
*
CAT
DOG
KITTEN
Name of Applicant
*
Age
Address of Applicant
*
Cell Phone/Home Phone
*
Email
*
Name of Co-Applicant
Age
Address (if different from above)
Cell Phone/Home Phone
Email
Do you live in a
Home
Townhome
Apartment
Mobile Home
Condominium
Do you own or rent?
Own
Rent
If you rent does your landlord allow pets?
No
Yes
Landlord name and Phone
Applicant Employer
Employer address
Position
Phone
Co-Applicant Employer
Address
Position
Phone
Reference Name
Relationship to Reference
Phone
Email
Reference Name
Relationship to Reference
Phone
Email
Please explain why you wish to adopt this animal
What do you think are the most important responsibilities in owning an animal?
Do you have a fenced in yard?
No
Yes
Height of fence?
What type of fence
Does a family member have any allergies to animals?
No
Yes
If yes, please explain
Where will the pet be kept during the day/night?
How many adults live in your household?
Children? (List ages)
Is anyone home during the day? If yes who?
Who will be caring for this animal?
How many hours will this pet be alone on average a day?
Have you ever adopted from SMAWL before?
No
Yes
If so, When and who?
How much do you estimate it will cost to care for this animal each year?
What kind of veterinary care do you intend to provide?
Please list the name and phone number of your veterinarian?
If you currently own cat(s), are they tested for FIV and FELV?
*
Are you willing to work with your pet on housebreaking issues, should the need arise?
No
Yes
If a behavioral problem arises, such as chewing and/or destruction, or house training/problems what steps will you take to work on it?
Obedience classes are highly recommended for puppies and dogs. Are you willing to take him/her to class?
No
Yes
If no, please explain why
Please list all pets you have owned in the last 5 years
*
If you move, what will you do with the animal?
Are you willing to take care of this pet for the next 10-15 years?
No
Yes
Has a dog/cat ever been stolen, lost or died prematurely?
No
Yes
If yes, please explain
Has it ever been necessary to sell or give a pet away?
No
Yes
If yes, please explain
Have you ever surrendered a dog/cat to a shelter?
No
Yes
If yes, please explain
Have you ever euthanized a pet?
No
Yes
If yes, please explain
If you are unable to keep this animal, you will be responsible for ensuring its safe return to SMAWL. If living out of the area, all travel costs will be the adopter's responsibility. Are you willing to accept this responsibility?
No
Yes
Signature of Applicant
*
Clear
Applicant Drivers License Number & State
Co-Applicant signature
Clear
Co-Applicant Driver License Number & State