Adopt Us
Adoption Request


Name *
E-mail Address *
Home Telephone
Work phone/Other
Type of animal applying for *
Who would you be adopting the animal for? *
Are you at least 18 years old? * Yes
No
Please tell us about all your reasons for adopting this animal (watch dog, companion, barn cat/mouser, breeding etc...) *
Where will this animal be kept on your property during the day? *
Same question during the night? *
How many hours a day do you estimate the animal will be alone? *
Is your yard all fenced, partially fenced, or not? If yes or partial, please describe fence type.
(if you're interested in adopting a dog) What methods of training are you planning to use to train your pet?
How do you plan to transport your pet? *
Choose type of residence *
If you rent, does your lease allow pets? * Yes
No
I don't rent
Please tell us how many adults live in your residence? How many children and their ages? *
Who will be responsible for the care of this animal? *
Does any member of your family have allergies? *
How long do you intend on keeping this animal? *
Under what circumstances would cause you to give up this animal? *
Are you financially able to provide medical care if your new pet becomes sick? *
Please tell us what animals are currently living at your home. For how long? Are they spayed/neutered? *
Do you have a current veterinarian, if so what is his name and address?
Please list the animals currently living at your home: Type of Pet? How long? Spayed/Neutered *
List animals you have previously owned: Type of Pet? How long? Spayed/Neutered What happened? *
Please tell us how many adults live in your residence.
How many children and their ages?
What circumstances would cause you to give up this animal?

* Fields marked with an asterisk are required fields

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