I am interested in a
ID or Name of animal
Please tell us about yourself and your environment
Are you over 21?
Do you own or rent?
Type of dwelling
How long there?
If renting, landlord's name and phone number
If you should move, what plans would you make for your pet?
Approximate yard size
Is the yard fenced?
Please list all persons living with you, their ages and their relationship to you.
If any household member does not want to adopt, please explain
Is anyone in your household allergic to pets?
If yes, how do you plan to resolve this?
Do you and/or other members of your household work?
If yes, how many hours each day?
How many hours will the pet be alone each day?
Please tell us about pets you presently own
Do you have any pets now?
If yes, please provide information below for each pet you have:
Please describe Pet 1
Where did you get Pet 1?
Please describe Pet 2
Where did you get Pet 2?
Please describe Pet 3
Where did you get Pet 3?
Please describe Pet 4
Where did you get Pet 4?
Please tell us about the pet you wish to adopt
If you have had this type of pet in the past, please provide a brief history
Did you have ever have to give a pet up?
If yes, please explain when and why.
Where will the pet stay when you are at home?
Where will the pet stay when you are out?
Where will the pet stay at night?
Who will take care of the pet while you are away - on vacation, for example?
What kind of food do you expect to feed your pet?
What is your veterinarian's name and phone number??
Are you financially prepared to provide veterinary care for this animal?
Please provide the names and phone numbers of three people and one veterinarian (none related to you) who know or have know you and your pets.
If you are adopting a cat and currently own one or more cats, you will need to provide proof that your current cat(s) has been tested for FIV/FcLV (feline combo test) and is negative. Do you agree to this?
We ask each adopter for an adoption donation at the time of the adoption in order to defray the cost of veterinary and foster care. Do you agree to this?
All potential adopters must agree to a home visit. This is to ensure that our rescued pets are being adopted into safe homes. Are you willing to have someone visit your home and check references prior to the adoption?
Would you agree to provide all necessary veterinary care, have the rescued pet spayed/neutered (if not already done), and keep proper identification on the rescued pet (if possible) at all times?
Are you willing to sign an adoption contract?
If, for any reason, the new pet doesn't work out in your home, do you agree to return the pet to the rescue volunteer without refund of any adoption donations paid?
Do you, the undersigned, understand that any misrepresentation of yourself or any untruths in the information you have provided herein will invalidate any adoption agreement and will give the rescue volunteer the right to reclaim the pet without refund of any adoption donations paid?
Clicking on the submit button below is the legal equivalent of your signature. By clicking on the submit button you agree that all the above information you have submitted is true.