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Pre-Adoption Form

You can now begin the adoption process online by completing much of the documentation before you even visit the shelter!

If you indicate which animal interests you, we can arrange a time for you to meet and get to know that "future best friend." You can change your mind at any time — there is no obligation if you complete an online pre-adoption request form.

Please review our policies about adoption.

PERSONAL INFORMATION
Animal you are interested in (optional):
Name:
Street Address:
City:
State:
Zip Code:
Home Phone:
Daytime Phone:
Email Address :
Are you over 18 years of age:
 Yes No
 
Driver's License #:
Employer/Occupation:
Spouse's Employer/Occupation:
 
Name of Relative or Friend (reference) :
Phone Number:
 
How did you hear of our shelter?

To ensure that this pet adoption is in the best
interest of both you and the animal you select,
we ask that you answer the following questions:

Briefly describe why you would like to adopt an animal:


PREVIOUS ADOPTION INFORMATION
Have you ever adopted an animal from our shelter? Yes No
If yes, what type of animal did you adopt?
When (Month/Year):


CURRENT LIVING SITUATION
Do you live in:
Do you: Rent/Lease Own
Who do you live with:
How long have you lived at this address:
Are you planning to move within 6 months? Yes No
 

NEW ADOPTION INFORMATION
I am considering adopting a pet for:
Myself Children Gift Other (specify):

Who is primarily responsible for the care/supervision of the pet?
Are there any children living in the home or visiting often?:
Yes No ~ If yes, please specify ages:

Do any of your household members have allergies to animals?
Yes No ~ If yes, please specify allergy:

How many hours during an average workday,
will your pet spend without a human?



What will happen to this pet if you have to move unexpectedly?
What will happen to this pet when you go on vacation,
or you have an away-from-home emergency?
What will you do if the animal you take home has
a behavior problem that you were not expecting?


Do you have a regular veterinarian? Yes No
Name or clinic name:

Do you want your new pet to be:

Where will this pet be kept:
During the day:
During the night:
When you're not at home:

If you have a fenced yard, please describe:
Will you allow our representative to see the animal at your home? Yes No

Do you want your new pet spayed or neutered (an operation to prevent them from having puppies or kittens)?
Yes No --- If no, why not?

 

PET HISTORY
Please list the pets you have had in the last 5 years. Include current pets and those you no longer own:

PET 1:

PET 1:

 

PET 2:

PET 1:

 

PET 3:

PET 1:

 

PET 4:

PET 1:

 

PET 5:

PET 1:

 

How would you like to be contacted
about this "pre-adoption" information?

I'll contact you Call home phone
Email Call daytime phone
US Mail (slowest) No preference

By submitting this form you are certifying that the above information is, to the best of your knowledge, true and that you understand submitting false information may result in nullifying this pre-adoption and adoption process.





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