Please be aware that applying for this pet is not a promise of adoption.
We place our pets in the most appropriate home that fits the animals needs.  

Name of pet:

Your name:

Address: 
City, State, Zip Code:

 

Telephone Numbers:

 		 Home:  
Work:
Emergency:

Email:

Do you agree to produce your driver's license prior to adoption:

Please ensure all persons listed in the following references know we may call and that they know you in a pet owner sense:

References

Name and Number:

Family:
Friend:
Other:
 
1. Is this your first pet? 
2. Do you have any other pets at home?     If Yes, please list:
  Name Type Breeds Ages Altered Vaccinated
a.
b.
c.
d.

3. If you don't have pets have you had them in the past?    If No go to #4

    How long did you have your last pet?
    What happened to your last pet?

    Was your last pet altered and vaccinated?  
4. Who is or will be your vet? 
    Phone:
5. How long have you lived at your present address?
6. Describe your home type and if rented or owned.
7. If rent landlord name and number if owned proof will be needed.
8. Who lives in your home? (ages, relation to you):

 

 

 

 

 

9. Is anyone in your house allergic to animals of any kind? 

10. Why do you want this pet? companion for family, for other pet, watchdog, guard dog, gift?
11. Who will be responsible for the pets care?
12. Where will you keep the pet?      
Daytime:
Nighttime: 
When you are out:
While on vacation:
13. How many hours (consecutive) will the animal be left alone, weekdays?
14. If issues arise what would you be willing to do? Hit by car, bad behavior, dominance, illness?
Please be honest.
15. Will you be taking your new pet for training with a trainer or training on your own?

16. Do you agree to microchip your adopted pet? 

17. Have you ever:     

Housetrained a puppy?

Litter trained a kitten?

Do you realize you may have to train?

18. Have you ever raised a puppy/kitten?
19. How will the pet be confined on your property when outside? 
20. Are you familiar and are ok with crate training?
21. Do you have a fence?     Type of fence?

22. Do you socialize your dogs? 

Dog parks

Hikes

Outings

Other

23. Do you realize a bored or untrained puppy/kitten can be destructive and needs training?

24. Do you realize a pet is a lifetime commitment and like a child will require medical care (routine, illness and injury) over its life time?

25. Are you prepared to give this animal everything to make him/her a well balanced companion?

26. Is there anything you would like to add or explain in your answers above?
27. You agree that if for any reason you where unable to keep this pet, you would give sufficient time and return this animal to me?   (if you found a new home for, I must approve)

 

 

Electronic Signature

 
LINKS YOUR MUST READ PRIOR TO ADOPTION OF A PUPPY/DOG IF APPROVED: