*COMPLETE ALL REQUIRED FIELDS ON THE APPLICATION (incomplete applications will be rejected)
*REVIEW YOUR INFO FOR ACCURACY (If your pet was vetted under another person's name, please note this on the application)
*BE SURE YOUR OPERATING SYSTEM IS UP TO DATE TO AVOID SUBMISSION ISSUES
*YOU WILL RECEIVE CONFIRMATION ONCE YOUR APPLICATION HAS SUCCESSFULLY SUBMITTED
What is the name of the animal you are interested in?*
Choose an animal:
Ailin and Airis (must be adopted with Airis and Airis)
Bella Destiny- No Longer Accepting Applications
Care Bear and Jinxi (must be adopted with Jinxi and Jinxi)
Cruella De Vil
Eleanor- No Longer Accepting Applications
Flurry (must be adopted with Olive and Olive)
Fred and Ginger
Frilly- No Longer Accepting Applications
Herbie and Bebe (must be adopted with Bebe and Bebe)
Logan and Kyler (must be adopted with Kyler)
Olive (must be adopted with Flurry and Flurry and Antro and Antro)
Queen of Hearts
Tiny Tina *Special Needs*
Valentina Littlekiss Amore
List any other animals you would also like to be considered for:
Birthdate: (Must be 18+ Years of age)*
Best way to contact you?(Check All That Apply)
Any violent criminal history for ANYONE living in the household? *
How many children living in the residence?
Ages of Children in Residence (Check All That Apply):
FULL Name, include maiden name, or other names used, Birthdate and Occupation of All Adult Members Living in the Residence*
Are all adults in the home ready for a new pet?*
Still working on it
Any known or suspected allergies and or health concerns with household members that would inhibit contact and or the ability to provide care or for a pet?*
If Yes, Please Describe:
If Mobile Home/Trailer:
Is your mobile home within a community/park that you provide lot rent?
Does Not Apply
If Yes, please provide the Mobile Home Park's information in the landlord section of this form.
How long have you lived at your current residence?*
Are there any anticipated plans on relocating in the future? *
RENT: Landlord's name and phone number. NA if not applicable.
Landlord's Email Address:
Are you aware of the Animal Policies in place by your Landlord? (Ex: Is there a deposit required or monthly fee?) Describe:
Where will the animal be while you're home?*
Where will the animal be while you're sleeping?
Where will the animal be while you're not home?*
On average, how many hours will the animal be left alone per week?
Any anticipated work, hour and our location changes in the future?
If Yes, please explain:
Do you currently have pets?*
Do you intend to declaw your cat /or kitten once adopted?*
Does Not Apply
List ALL Pets in the Home & Provide All Info Asked Below:
*Incomplete applications will be rejected*
Most recent Rabies Vaccine:
Most recent Distemper Vaccine:
Please provide your 5 year pet history include:
Name, type, age, they left your home and why they left your home (death, rehome etc…)
IMPORTANT: If your resident pet is not utd or altered we cannot process your application without a vet verified medical reason. We will call to verify, please give your vet clinic permission to speak with MSAR or we cannot process your application.
Describe your or your family's overall average activity level and include favorite hobbies? *
What age of pet best suits your and your family's energy level, hobbies and lifestyle? (Check All That Apply)
Preference to Male vs. Female?
What traits are you looking for, best suited for your lifestyle and most appealing to you in a pet?
Reference #1: Full Name
(References can NOT be family members or related) *
Reference #1: Email
Reference #1: Phone Number*
Reference #2: Full Name (References can NOT be family members or related)*
Reference #2: Email
Reference #2: Phone Number*
If your resident pet is not UTD on vaccinations, rabies or altered, we cannot process your application without a vet verified medical reason. Please give your vet clinic permission to speak with MSAR or we cannot process your application.
Not sure if your pet is current?
Please contact your vet to check. Incomplete applications will be denied and you will need to reapply once your resident pets are current with all vetting.
Name of your current veterinary clinic that has up to date information about your pet? (If you do not have a vet please list one you intend to use):*
Vet's Phone Number: (Required field: If no vet, please enter your phone number as a placeholder)*
Have you ever adopted from MSAR?*
If yes, please provide the Name of animal(s), type of animal(s), and approximate date(s) of adoption:
(Enter N/A if this does not apply)*
How did you hear about us?
I Certify That the Above Information is True and Accurate and I Have Read the Disclosure Above: (enter name for signature)*