Adoption Application

If you do not want to fill out the form at this time, click here to return to the CTH Home Page

Just complete this form. Click on Submit when ready to send
* NOTE: Do not hit the Enter key.  You can use the Tab key to move between questions.  If you hit the Enter key it will send the application before you have filled it out completely.  When you have completely filled out the form, click on Submit at the bottom of page to send.  Thank you.

Your name:
Spouse:
Address:
City:		State:
Zip:	Phone:
Email address:

 

Name of pet you are applying for:

Why are you interested in this particular breed/dog? 

Is this your first experience with a pet? Yes  No

List pets you currently have in your household:

Name	Type	Altered?	Kept Where?	Age
		YN
		YN
		YN
		YN

List pets owned in the last five years not listed above:

Name	Type	Altered?	Kept where	Age	What happened to pet?
		YN
		YN
		YN
		YN

 

Who is your Veterinarian? Phone:

Do you currently live in a ? House Condo Apartment Mobile home Duplex

Do you? Own Rent

If you rent, does your lease allow pets? - Yes No

If yes, what is the name of your landlord? Phone:

How long have you lived at your present address?

How many people live in your household?

Do all the adults know you plan to adopt a pet? Yes No

Number of children and their ages?

Does anyone have any pet allergies? Yes No

If yes, what type?

Who will be responsible for care of the pet?

Where will it be kept during the day?

Where will it be kept at night?

How many hours will the pet be left alone?

Do you have a fenced yard? Yes No

Type of fence? - Wood Cyclone Farm fence Invisible How high?

Are you familiar with crating? Yes No

If yes, what are your feelings about crates? 

Do you plan on attending obedience classes? Yes No

Are you familiar with heartworm disease? Yes No

How will your dog be confined to your property? (check all that apply)
House Kennel Fenced yard Chain Garage Patio Leash Above ground trolley

How will your pet be cared for while on vacation?

Do you plan on adding another dog to your household after this adoption? Yes No

Please explain: 

How did you hear about us? Web search Petfinder search Flyer Newspaper ad Word of mouth Other

Please list three personal references (not family members):

Name	Phone	Relationship

Employer's name:
Phone:
City:
Normal amount of hours worked (per day):

 

When you are done filling out the form, click Submit once.
Thank You