What kind of animals are you looking to adopt? Select one: Dog Cat
If there is a specific animal you’re interested in please tell us their name. Otherwise we will evaluate your application to see which of our animals would be the best fit for you and your home. Interested in:
Name:
Address: City: State: ZIP:
Is your address inside the city limits? Select one: Yes No
Length of time at current address: Years Months
Home Phone: Work Phone: Cell phone:
Which is the best number to reach you at? Select one: Home Work Cell
Best time of day to call?
Email address:
If renting, Landlord's name: Landlord's phone number:
Fencing questions do not apply for cat adoptions since all cats are required to be kept inside.
Does your current home have a yard/outside area? Select one: Yes No
Is it fenced? Select one: Yes No
What type of fence do you have (chain, cinderblock, brick, wood)?
How tall is your fence (approx)? ft
Please select type, breed, gender and age of all animals that live in or are frequently at your home:
Type: Select one: Dog Cat Other Breed: Gender: Select one: Intact Male Neutered Male Intact Female Spayed Female Age: yrs.
How many animals do you currently own, including those listed above?
Name of your veterinarian: Phone number:
Do you have children in your home? Select one: Yes No
If yes, please tell us how many and the ages of children. Some of our animals will do best in homes with older children while others love everyone and would be an ideal family pet.
Number of children: Ages:
How did you hear about us? Select one: Adoption/Fundraising Event Friend/Co-worker Petfinder Petsmart Other
If other, how?
Submitting this form sends a copy of your application to our board members. Before any adoption is finalized a home check, adoption contract, and payment of adoption fees will also need to be completed. If multiple applications are received for the same pet we will evaluate all applications received to determine the best home for that pet.
