All questions with a red * are required. Please answer all questions fully.
How did you hear about us?*
Your driver's license number:*
Your date of birth:*
Which available pet(s) are you applying to adopt?*
Why are you interested in adopting a pet at this time, and why are you interested in this pet in particular?*
Current veterinarian's name and phone number:*
Have you owned pets before?
Please list all the current pets in your home, along with their species, breed, sex, weight, age, and how long they have been with you.
Are your pets still with you?
If your pets are no longer with you, please explain why not.
Are your pets spayed/neutered?
If your pets have not been spayed/neutered, please tell us why.
Does your neighborhood have any breed restrictions?
Do you have a homeowner's association?
Do you rent or own your home?*
In what type of home do you live?*
If you rent, have you received your landlord's approval to have this pet?
Your landlord's name and phone number (if you rent):
Do you have a fenced yard?*
Yard Partially Fenced
Yard Completely Fenced
If so, what type of fence do you have?
How tall is the fence?
Will this animal be kept inside or outside?*
Inside and Outside
Have you ever given up a pet? If so, please explain the circumstances and what happened to your pet.*
What will you do with your pets if you have to move?*
Does anyone living in your home have pet allergies?
What do you think would be reasonable cause to surrender a pet?*
Please list all residents of your home and their relationship to you. For all of those residents over 18, please provide their DOB and driver's license state/number.*
Please tell us about your family, job(s), hobbies, activity level, etc.*
If you have children, please explain their past experience with pets.*
What brand of food are you currently feeding your pets? Would you be willing to change?*
Describe how you would train a pet.*
Would you ever consider hiring a dog-walker to assist your family in taking care of your pets?*
Please explain heartworms and how you would prevent them.*
How much time will you pet typically spend alone during the day?*
Where will your pet sleep?*
Where will your pet be kept when you are home?*
Where will your pet be kept when you are not at home?*
Some rescued pets require time to adjust to a new family and home lifestyle. Are you willing to give your pet a substantial amount of time to adjust to this new life?
Please provide at least one non-family reference (include their contact phone number and/or email address):*
Please initial below that you have read the above questions, understood them, and completed this application to the best of your knowledge and ability.*