Adoption Application

Thank you for choosing to adopt. Completing this application does not guarantee the adoption of any specific pet, but it is the first step in our adoption process. You will receive an email response confirming we have received your application. It may take an additional 1-3 days for us to process your application.

Which pet are you applying to adopt? Or are you undecided?*

Contact Information

Applicant Name*

First Last

Co-Applicant Name

First Last

Address*

Address Line 1 Address Line 2 City State ZIP Code

Email*

Phone number where we can text you…*

Living Situation

List everyone who lives in the home where the new pet will live. Please include ages for any children under 18:*

(Children, Grandparents, significant other, roommate, etc.)

Do you own your home or rent?*

Own
Rent

Landlord Name and Phone*

Does your subdivision/neighborhood/community/landlord have any pet restrictions?*

Do you have a fenced yard?*

Yes
No

Please describe the fenced area. (Fully or partially fenced, height, material, back yard, etc.)

Please list all pets, current or in the last 5 years. (Name, Breed, age, alive or deceased)*

(Please include: NAME, AGE, BREED, ALIVE or DECEASED.)

Please list any Veterinary Office(s) that may have records for above listed pets: (Name & Phone number)*

(Please give your vet’s office permission to speak to us. We will be calling to confirm that your current and/or past pets are/were kept up to date on routine care.)

Have you adopted a rescue pet in the past? If so, which pet?*

Why are you currently looking to adopt a pet?

References & Signatures

Please list 2 personal references: Name, Relationship, Years Known and Phone Number

Reference 1*

First Last

Relationship*

Years Known*

Phone*

Reference 2*

First Last

Relationship*

Years Known*

Phone*

By electronically signing below, you agree that the information you have provided is complete and correct. In addition, you give us permission to contact your landlord, previous vet, and/or personal references.

Signature*

Use your mouse or finger to draw your signature above

Co-Applicant Signature

Use your mouse or finger to draw your signature above

Once your application is received, it will be processed and you will be contacted. Many of our pets receive multiple adoption applications. It is our goal to find each pet the ideal forever family. When your application is approved, everyone who lives in the home will be invited to come in and meet our adoptable pets. If you have a current dog, you will be required to schedule a dog to dog meeting prior to finalizing any new dog adoption. We also reserve the right to complete a home visit prior to finalizing any adoption.

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