Please fill out this form
as completely as possible.
Which pet(s) are you interested in adopting?
Are you at least 21 years of age?
Are you a senior citizen (discounted adoption
rate may apply)?
Would you allow a home visitation before
adopting the pet?
What type of residence best describes your
Is this a rental property?
If rental does your landlord accept pets?
If so, up to what weight (in pounds):
Do you have a fenced yard?
How many adults in your family?
How many children?
Does anyone in family suffer from pet allergies?
Any other pets?
Number of cats:
Number of dogs:
Are your pets neutered or spayed?
If you have cats, are they declawed?
Do they live inside?
Who is your current vet?
Have you had pets before?
What happened to them? (check all that apply)
Still with me/us.
Died -natural causes.
Other. Please explain:
Will you keep your new pet:
Combination of inside/outside
How long will the pet be left on it's own
None (a family member is almost always home)
2 hours or less.
More than 10 hours
I would like to contribute:
Length of time at current residence:
Are all family members in agreement about
obtaining a pet? Please explain:
Is this pet to be a gift or "surprise"?
If you chose yes above please explain:
did you hear about us?
Please confirm your Email Address:
To submit your application, first
click the continue button below. A confirmation page will appear.
click "Continue" on the confirmation page to send your
Click the reset button clear your application
and start over.
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