Pre-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 *

Email Address *

Cell Phone *

How did you find out about us? *

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?

Are your pets current on their vaccinations?

Have you ever turned your dog or cat into a shelter?

If yes, please explain?

Do you have experience with shy or timid cats?

Please check the main reason you plan to adopt a pet:

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.

On average, how many hours per day will your pet be left alone?

Will this pet be predominantly living inside, outside, or both?

Will you keep the animal up-to-date on vaccinations?

If no, please explain:

Are you a client of a local vet clinic? *

If you are adopting a young kitten, have you recently checked the cost to spay or neuter a kitten AND the availability of appointments?

Have you ever been convicted of abuse or neglect of a child or animal?

If yes, please explain:

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. *