Adoption Application

Let's do it!


We are looking for permanent, responsible homes for the animals leaving our care. Every year, millions of animals are surrendered to animal shelters because owners allow them to breed indiscriminately or decide they no longer want the responsibility of caring for a pet. Dogs/cats are not disposable objects. We realize that adopting a pet is a LIFETIME COMMITMENT. It is our hope that prospective owners are aware of this also. Therefore, our ADOPTION AGREEMENT policies (listed below) are strict for the sake of our animals:

Dog/Cat Name you are applying to adopt:

Your First and Last Name:

Date of Birth:

Street Address:



Zip Code:

Primary Phone Number:

How did you learn about the pet you are wanting to adopt? (ie. Facebook, Petfinder, CPR site, Next Door, friend, etc.)


Do you have a valid driver's license?

License # and State of Issue:

Type of dwelling:

Do you:

If you rent, please provide landlord's name and contact information:

Do you have breed restrictions at your place of dwelling?

If yes, what breeds are restricted?

Are you under a HOA, POA, or other organization that makes and enforces rules for your property?

Do you have a fenced yard?

If your yard is fenced, what type of fencing and how tall?

How many adults live in your home?

How many children below the age of 18 live in your home?

If children live with you, what are their ages?

Do you have any pets?

List current pets (name, breeds, age, dog/cat/bird/etc):

Are your pets up-to-date on their vaccinations?

Are your pets spayed or neutered?

Contact info of your veterinarian:

Have you adopted before?

If your dog needs training, will you be willing to take him/her to a trainer? Please be specific in your answer. NA if applying for a cat/kitten/other animal.

How will you keep your new pet socialized and exercised? NA if applying for a cat/kitten/other animal.

Do you have another other information that you would like to share with us? Can be why you want to adopt this pet specifically:

Thank you!
We know how exciting it is to have found a possible furry match, so we'll be in touch as soon as we can.

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