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Adoption Application

2. Before applying for adoption please read the following carefully. In order to qualify to adopt you must:<br><br> 1. Be willing and able to provide medical care, stable care for the remainder of the pet’s life, and proper training<br> 2. Be 18 or older<br> 3. The owner of the property must be aware/consent to the adoption<br> 4. Understand we reserve the right to deny any application as we see fit<br> 5. Consent to a vet check and understand this affects the application approval process

   Before applying for adoption please read the following carefully. In order to qualify to adopt you must:
   
   1. Be willing and able to provide medical care, stable care for the remainder of the pet’s life, and proper training
   2. Be 18 or older
   3. The owner of the property must be aware/consent to the adoption
   4. Understand we reserve the right to deny any application as we see fit
   5. Consent to a vet check and understand this affects the application approval process

4. Animal you're interested in:

6. Name

7. Email Address

9. Address

11. City

12. State

13. Zip Code

15. Phone Number

16. Email

18. What kind of house do you live in?

    1. Apartment
    2. House
    3. Mobile Home
    4. Townhouse/Duplex

19. Do you own or rent?

    1. Own
    2. Rent

21. Do you have a fenced in back yard? If so, describe the fence.

22. If you rent, what is the pet policy stated in your lease?

24. Number of adults in the household:

25. Ages of adults in the household:

27. Number of children in the household:

28. Age of children in the home:

30. Does anybody in the household have allergies to animals?

31. Is everybody in your house aware that you are adopting a pet?

33. Have you applied for or adopted an animal from another shelter? If so, where?

34. Have you ever turned an animal over to a shelter or rehomed a pet? If so, why?

36. Name of your veterinarian:

37. Phone number for your veterinarian:

39. Please list any animals you currently or have owned:

40. Have your animals had any vaccination in the past year?

42. What Heartworm prevention do you use?

43. Will this animal live indoors or outdoors?

    1. Indoors
    2. Outdoors
    3. Both

45. If animal will live in both, please explain:

Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

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