Adoption Application

If you are interested in adopting, please submit an adoption application below and we will contact you to arrange a visit. We require an adoption application, site visit and reference check.

To submit your information online, please fill in the form below as completely as possible. All fields marked with an * are required fields. After clicking the SUBMIT button, if there are any errors or missed fields, the errors will display with a RED error message next to the problem field. You will then have the opportunity to enter any missing data or fix any errors. All errors or incomplete fields must be entered before your information can be submitted. Upon successfully submitting all information, you will see a confirmation message.

 
*First Name
*Last Name
*Age
*Street
*City
*State
*Zipcode
*Home Phone
Home Fax
Cell Phone
*Email
Employer
Job Title
Work Phone
Work Fax
Coapplicant First Name
Coapplicant Last Name
Coapplicant Age
Coapplicant Street
Coapplicant City
Coapplicant State
Coapplicant Zipcode
Coapplicant Home Phone
Coapplicant Home Fax
Coapplicant Cell Phone
Coapplicant Email
Coapplicant Employer
Coapplicant Job Title
Coapplicant Work Phone
Coapplicant Work Fax
Coapplicant Relationship To Applicant
Name Of The Animal You Would Like To Adopt
*What Energy Levels Are You Comfortable With
*Would You Prefer A Male Or Female
Male
Female
*Is Shedding A Concern
Yes
No
*Is Noise A Concern
Yes
No
*Do You Have Cats
Yes
No
*Do You Have Dogs
Yes
No
I Am Willing To Adopt An Animal With Special Needs
*What Is Your Ideal Timeframe For Adopting
*Why Are You Interested In Adopting
*What Type Of Property Do You Live In
*Do You Rent Or Own
Own
Rent
If You Rent Please List Landlord Name
If You Rent Please List Landlord Telephone
*Do You Have A Fenced Yard
Yes
No
Type Of Fence
Height Of Fence
*How Many Adults Live In Your Household
*How Many Children Live In Your Household
*What Are The Ages Of The Children In Your Household
*Is Anyone Home During The Day
Yes
No
*Who Is Home During The Day
*Does Anyone In Your Household Have Allergies
Yes
No
*Who Will Be Responsible For Caring For This Animal
*Under What Circumstances Would You Have To Give Up This Animal
How down the CONTROL key while clicking to select more than one answer
*Who Will Care For This Animal When You Go On Vacation
*How Will Your Daily Life Change By Adopting This Animal
*Where Will This Animal Be Kept During The Day
*Where Will This Animal Be Kept During The Night
*How Many Hours Will This Animal Be Alone During The Day
*Will This Animal Be Tied Outside During Part Of The Day
Yes
No
*How And Where Will You Exercise This Animal
Are You Willing To Spend Time Training The Animal
Would You Be Interested In Taking An Obedience Class
Have You Ever Had A Pet Die At An Early Age Due To An Accident
Explanation Of Pet Dying At An Early Age Due To An Accident
*Vet Name
*Vet Telephone
*Vet Street Address
*Vet City
*Vet State
*Vet Zipcode
*Personal Reference 1 Name
*Personal Reference 1 Telephone
*Personal Reference 1 Relationship To Applicant
*Personal Reference 2 Name
*Personal Reference 2 Telephone
*Personal Reference 2 Relationship To Applicant
*Personal Reference 3 Name
*Personal Reference 3 Telephone
*Personal Reference 3 Relationship To Applicant
*How Did You Hear About Us
Are You Interested In Volunteering With Us
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