Name:

Phone:

Street Address:

City, State, Zip:

How long have you lived at this address?:

Married?:

Children?:

Number?:

Ages?:

Have they ever been exposed to animals?:

What type and how long?:


Place of employment:
Phone:

Spouse’s place of employment:
Phone:

Why did you choose a pet from our shelter?:

Who are you adopting this animal for?:

Which family member will be primarily responsible for the training and care of this animal?:

Do you live in a/an Apartment, Mobile home, House, Condominium or other (please describe)?:

Do you own or rent this property? (Give landlord’s name and phone number or provide proof of ownership at the shelter):

Approximately how much ground do you have?:

Do you have a complete fenced in yard? What type of fencing?:

If you do not have a fenced in area, how do you plan to exercise the pet?:

What animals do you own at this time? (list breed, sex and name of each):

Are these animals current on yearly shots?:

Spay/Neutered?:

Do these animals have a current City/State license?:

Have you had pets in the past?:

Please tell us what happened to them.:

List your veterinarian:
Name:
Phone:
Address (address, city, state, zip):


Do you plan any alterations? (cropping, docking,. declawing)?:

Have you done research on or owned this type of pet?:

How much time do you plan to spend with this animal?:

How much time will this animal spend alone?:

What type of food do you plan to feed this animal?:

Would you object to a home visit?:

Will this animal be an indoor or an outdoor pet?:

How do you plan to housebreak this animal?;

What would you do with this animal if you were forced to move from your present home?:

How long do you plan to have this animal?:

What would cause you to give this animal up?:

Drivers license #:
Exp Date:


The applicant understands and agrees to the following:

A portion of your adoption fee will go to the veterinarian to help with the cost of the mandatory spay/neuter of the animal.

We do not guarantee that the animal will be suitable for your family.

The Shelter Staff is happy to discuss which pets would be best suited for your home.

Processing an application take approximately 24 hours. We will not place you name on the animal until the application is approved. The Animal Shelter has the right to reject any application for any reason and without stating a reason.