First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Cell Phone*

Alt Email

Are you an ADULT member of your household? To adopt/foster a pet, you must be over 18. *

Do you currently have cat(s)?*

Do you currently have dog(s)?*

Please enter information about any and all pets living in your household. Please include: Name, type of pet, breed, age, and gender. If no pets - please enter "none" in box below. *

Please describe your current living situation. Alone, with spouse, with spouse and children, etc.*

Please enter the name, age, relationship and work/school hours of everyone living in your home, including yourself: *

Do you own, rent or live with family/friends?*

Please describe your yard's features, fence or not, fence height, pool or not, etc. If you do not have a yard, please address how you will handle exercise and house training/breaks. This question is relevant to dog adopters/fosters.*

If you rent, does your landlord know you are getting a pet and are you familiar with all pet policies and requirements of your landlord or community? If you own, does your association or community have restrictions on pet ownership? *

If you rent, please enter your landlord's name and phone number and email address. (Renters must provide a letter from the landlord stating you are able to have the type of pet for which you have applied.) YOUR APPLICATION WILL NOT BE CONSIDERED IF YOU RENT AND DO NOT INCLUDE YOUR LANDLORD'S NAME AND CONTACT INFORMATION.

If applicable, please tell us about your past pets. Tell us what type and breed, how long owned, what happened (passed away or gave up, etc.)

List your Vet's name and contact number. We will be discussing the following questions with your vet: * Are pets up to date on rabies and distemper? * Are pets neutered/spayed and micro-chipped? * Do pets have a history of receiving monthly heart worm AND flea & tick preventive? * Are all pets receiving annual visits? Please make sure the vet you list can answer these questions. If you use shelter-based vaccine clinic or your town's vaccine clinic, you need to provide those records to us. *

Are all of your pets spayed/neutered?*

Are your pets regularly seen by a vet and up to date with their vaccinations?*

Please tell us about your experience with training. *

How many hours a day will your new pet be alone? Do you have a pet-sitter/dog walker? How will you care for your new pet while your are away? Please describe below.*

Please include two personal references below with contact information including email and phone. Only one can be a family member. (Your application will not be considered if you don't list references and contact information.) *

Do you have any other comments?