IMPORTANT: If you are at least 62 years old and wish to participate in our Seniors for Seniors Adoption Program, please fill out our Seniors for Seniors Adoption Application instead.

Adoption Application

Please answer the following questions so that we can make a great match for you and your new animal companion. There are no wrong answers! Contact us if you have problems or questions in filling out this application.

GENERAL INFORMATION

Telephone      



YOUR NEW DOG

Do you prefer a:      

What size dog do you prefer:      




How long will the dog be alone (without humans)?    


How will the dog receive exercise? (Check all that apply.)

                 


When you are away (vacation, business travel, etc.), what will happen with the dog? (Check all that apply.)

                 









Who will be responsible for:    

   

 




LIVING SITUATION




Do you live in a:        

Do you:    



 

 


   


CURRENT AND PAST PETS


Please supply the following information for each pet you currently have or have had in the past 10 years.


DOGS

       

 


       

 


       

 



CATS

       

 


       

 



OTHER PETS


ANIMAL CARE EXPERIENCE


REFERENCES

Please provide a personal reference:

               


Veterinarian used in the past 5 years.

             

             

FINAL WRAP-UP


CERTIFICATION