Are you over the age of 21 year:
Type of Pet you are interested in:
Name of Pet (s) you are interested in:
Why do you want to adopt a pet:
What do you think are the most important responsibilities in owning a pet:
For whom are you adopting the pet:
Have you ever owned a pet before:
Describe those pets that are currently with you (type, age, sex, altered status):
Describe those pets that are no longer with you (type, age, sex, altered status):
What happened to the pets who are no longer with you:
Please provide the name & phone number of the veterinarian for your current and/or former pets:
May we contact your Vet:
How many people reside in your household:
Are there any children in the household?
If yes what ages:
Have you or any members of your household been reported, summoned, investigated, charged or convicted of animal neglect, abuse or hoarding:
Does anyone have allergies to pets:
Who will be responsible for the care of the pet:
Do you own or rent your residence:
If you rent, please provide the name & phone number of your landlord:
Where will the pet be kept:
Where will the pet sleep?
When on an extended trip, what do you plan for your pets care:
Are you financially prepared to meet the expenses required (veterinary exams, vaccinations, surgery, etc)?
FOSTERING ONLY: What pet supplies do you currently have? (Crate, grooming tools, etc.)
FOSTERING ONLY: (Dogs) Which of the State Dog Law required fire protection such as a fire extinguisher, sprinkler system, or smoke alarm do you provide?
FOSTERING ONLY: (Dogs) State Dog Law Enforcement also requires an exercise plan such as, going for a walk; playing in the yard; etc .Which will you provide?
Thank You for your Submission!