Red Fern Animal Shelter
Adoption Application

If you prefer to print out and mail this application, please click here for a pdf version.
In order to be considered for an adoption, you must be 21 years of age, have the knowledge and consent of all adults living in your household, have a valid ID with current address, have landlord's name and telephone number (or lease), and understand that Red Fern Animal Shelter must approve your application. Thank you for your interest in Red Fern dogs and cats.

Name:                

Address:             

City, State, Zip:   

Home phone:      

Cell Phone:         

Email Address:    

Age:   

What type of pet are you looking for? (Check all that apply)
Dog
Cat
Male
Female
Puppy
Kitten
Young Adult
Adult
Senior
Special Needs

Are you looking for a particular breed?
Yes
No
If Yes, what breed?

Are there particular dogs or cats on our website that you are interested in adopting? If so, please list their names here:


What role will this pet play in your life? (for example, companion or protection)


How many hours per day will this pet be with human companionship?
hours

Where will this pet be during the day?
Indoors
Outdoors
Kennel
Dog Crate
Basement
Garage
Other:

Where do you live?
House
Apartment
Condo
Mobile Home
Other:

Do you (check one):
Rent
Own
Live with parents

If you rent, does your landlord allow pets?
Yes
No
Don't Know

(Respond only if you plan to adopt a dog):  Do you have a fenced yard?
Yes
No
Other:
If fenced, please describe type of fence and height:


Please provide the following information about your household:
Number of adults:
Number of children:
Ages of children:

Do you or anyone in your household smoke?
Yes
No

(Respond only if you plan to adopt a dog):  Is anyone in your family allergic to dogs?
Yes
No

(Respond only if you plan to adopt a cat):  Is anyone in your family allergic to cats?
Yes
No

What will you do with this pet if you move?


What plans for your pet's future will you make in the event you are unable to care for him/her?


How much do you anticipate spending yearly to feed, vaccinate, license, and provide medical care for your pet?
$

Would you be willing to allow a representative from Red Fern Animal Shelter to visit your home as part of the adoption process?
Yes
No
If No, please explain:


Have you adopted an animal from a shelter in the past?
Yes
No
If Yes, please provide name of shelter:

Please describe the cats & dogs you currently own or have owned in the past 10 years (name, breed, age, sex):

Pet #1:

Pet #2:

Pet #3:

Pet #4:

Pet #5:

Pet #6:


Are/were all of the above pets spayed or neutered?
Yes
No

If you no longer own one or more of the above pets, please explain what happened to the pet(s):


Your veterinarian's name:  
Your veterinarian's phone number:  

Do you realize that a dog or cat may live 15 or more years?
Yes
No

It may take your new pet time to adjust to your home, especially if other pets are involved.
How do you plan to help during this adjustment period?


(Respond only if you plan to adopt a dog):  How do you plan to housetrain your new dog, realizing that shelter dogs may need additional time and training?


Please provide other information that may be useful in helping Red Fern Animal Shelter determine the status of this adoption.
A good place to start would be an explanation of why you want a dog or cat.


By submitting this application, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing the privilege of adopting a pet from Red Fern. I understand that this application is the property of Red Fern Animal Shelter.