Adoption Application
Animal you are interested in adopting
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Indy (Dog - 042118544)
Panda (Cat - 042018105)
Holly (Brightly) (Dog - 042018543)
Lafayette (Cat - 042018107)
Pumpkin (Dog - 040317320)
Leia (Cat - 052417363)
Kentucky (Dog - 041918541)
Campbell (Dog - 041918538)
Binx (Cat - 041818100)
Rachel (Dog - 041818536)
Logan (Dog - 081417766)
Ophelia (Dog - 041718532)
Dimitri (Dog - 041718531)
Phoebe (Dog - 041718530)
Calista (Dog - 041718528)
Mallory (Dog - 041718534)
Cracker Jack (Dog - 01021810)
Amelia (Dog - 041418523)
Raleigh (Dog - 041418522)
Sugar Ray (Dog - 041418525)
Olive (Dog - 041418524)
Paris (Dog - 041418520)
Minnie (Dog - 121815962)
Chief (Dog - 041218515)
Kylo (Dog - 041218512)
Herman (Dog - 041218516)
Blake (Dog - 013118172)
Tripp (Dog - 1230171238)
Ollie (Dog - 041018498)
Emma (Dog - 041018497)
Samson (Dog - 041018496)
Callie (Dog - 041018495)
Chloe (Dog - 041018494)
Jackson (Dog - 041018493)
Crystal (Cat - 04091888)
Skye (Dog - 0105178)
Doc (Dog - 040618486)
Azzy (Cat - 04061886)
Zeus (Dog - 040618485)
Taliah (Dog - 040618478)
Peter (Dog - 040618477)
Nellie (Cat - 04061887)
Piper (Dog - 040618476)
Jackson (Dog - 040618475)
Suzie (Dog - 040618474)
Penelope (Dog - 040618472)
PJ (Dog - 040618473)
Lacey (Dog - 040618488)
Evan (Dog - 040518471)
Fella (Cat - 04041882)
Layla (Dog - 040318429)
Harry (Dog - 040318422)
Smooches (Dog - 030517216)
Buzz (Dog - 1220171207)
Wyatt (Dog - 040218421)
Dawson (Dog - 040218420)
Alf (Dog - 1119171139)
Jake (Dog - 042717405)
Harper (Dog - 032918415)
Memphis (Dog - 032818409)
Reese (Dog - 032818410)
Godiva (Dog - 032718406)
Dixie (Dog - 0103176)
Opie (Dog - 032618404)
Tim (Dog - 01271781)
Jasmine (Dog - 032618403)
Pluto (Dog - 1212171172)
Jack (Dog - 1205171162)
Hannity (Dog - 070216603)
Budha (Dog - 012618156)
Paisley (Dog - 032418395)
Beau (Dog - 032418390)
Duke (Dog - 032318379)
Buttercup (Dog - 032218370)
Grizzly (Dog - 1203171160)
Jax (Dog - 032118375)
Ezekiel (Dog - 032118372)
Stewart (Dog - 032118374)
Apollo (Dog - 071116629)
Oakley (Dog - 01051820)
Sophia (Dog - 031818364)
Rudy (Dog - 031518344)
Piper (Dog - 031518345)
Kiwi (Cat - 03151860)
Percy (Dog - 031418343)
Dallas (Dog - 031218336)
Kobe (Dog - 031018329)
Gracie (Dog - 051616449)
Ginny (Dog - 031018331)
Kodak (Dog - 1230161150)
Bear Bear (Dog - 111114835)
Charlie (Dog - 030818324)
Rosco (Dog - 030618316)
Stevie (Cat - 041315107)
Donovan (Dog - 030418309)
Kira (Dog - 030318307)
Mia (Dog - 100317984)
Max (Dog - 022818287)
Nova (Dog - 022718283)
Marvel (Dog - 022718285)
Anastasia (Dog - 102716927)
Roxy (Dog - 1129171152)
Annabelle (39) (Dog - 092417953)
Mila (Dog - 022318272)
Ozzy (Dog - 022218262)
Diamond (Dog - 022018260)
Zoey (Dog - 021918246)
Copper (Dog - 080616705)
Caden (Dog - 021718241)
Millie (Dog - 082216746)
Quinn (Dog - 021218213)
Miles (Dog - 021218214)
Natasha (Dog - 021218216)
Cassidy (Dog - 080116684)
Creed (Dog - 021018209)
Maya (Dog - 021018208)
Chase (Dog - 021018207)
Eli (Dog - 020918206)
Skyler (Dog - 020718200)
Lillian (Cat - 01311839)
Ellis (Dog - 013118170)
Sweetie (Dog - 013018161)
Precious (Dog - 012418144)
Mr.Smokey (Cat - 01201820)
Sarge (10) (Dog - 01201869)
Nadia (45) (Dog - 051416447)
Spencer (Dog - 052516598)
Charlotte (Dog - 01181676)
Catalina (Dog - 1222171221)
Winnie (Dog - 1221171224)
Vincent (Dog - 1220171203)
Kola (Dog - 1219171211)
Shane (3) (Dog - 093017978)
Mable (Dog - 1203171159)
Tiger (25) (Dog - 051517458)
Penny (Dog - 1028171081)
Annie (Dog - 1024171074)
Scooby (12) (Dog - 040616306)
Savannah (28) (Dog - 1013171032)
Sparky (1) (Dog - 032115255)
Mary Jane (23) (Dog - 093017979)
Sydney (16) (Dog - 092017940)
Haleigh (14) (Dog - 110216943)
Brooke (7) (Dog - 090917875)
Gunner (Dog - 090317852)
Janet (Cat - 090217561)
Ruby (38) (Dog - 031216220)
Tyler (Dog - 082617809)
Silas (21) (Dog - 081517772)
Naomi (Dog - 081517771)
Caroline (Dog - 081417765)
Summer (Dog - 081117762)
Charlie (Charlotte) (Dog - 080517975)
Posey (Cat - 080317480)
Aaron (Dog - 073117726)
Tallulah (Dog - 072117693)
Wyatt (Cat - 072017435)
Carly (Dog - 01051518)
River (11) (Dog - 070917653)
Klondike (18) (Dog - 081116714)
Beverly (Dog - 063017655)
Midnight (15) (Dog - 041317348)
Cocoa (Dog - 061017558)
Orbit (8) (Dog - 030417200)
Sabrina (17) (Dog - 102716926)
Marlo (Dog - 030217188)
Traci (Dog - 042917406)
Noah (4) (Dog - 040817337)
Rajah (Bonnie) (Dog - 022717184)
Pongo (34) (Dog - 073015564)
Jennifer (27) (Dog - 01151735)
Mercy (Dog - 1226161131)
Gordon (Dog - 070716609)
Portia (Dog - 051616452)
Kinsley (29) (Dog - 041516332)
Applicant's First Name
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Applicant's Last Name
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Street Address
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City
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State
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Apartment Number (if applicable)
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Zip Code
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Phone Number
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Alternate Phone Number
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Email Address
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Date of Birth
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Drivers License Number
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How did you find out about us?
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Petfinder
Internet Search
Family/Friend
Staff/Volunteer
Facebook/Twitter
Other
Have you applied anywhere else for a pet?
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No
Yes
If yes, where else have you applied for a pet?
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Is this pet for you or someone else?
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Myself
Someone else
Do you own other pets at the current time?
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No
Yes
If yes, please list their names, breeds, and ages.
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Are all of your pets spayed/neutered/fixed?
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Yes
No
N/A
How many pets have you owned in the last 5-10 years?
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What happened to them?
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Are your pets current on their vaccinations?
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Yes
no
n/a
Have you ever turned your dog or cat into a shelter?
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No
Yes
If yes, please explain?
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Veterinarian's Name
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Veterinarian's Address, City, State, and Zip Code
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Veterinarian's Phone Number
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Do you own or rent your home?
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Own
Rent
Someone else owns the Home
Someone else rents the Home
Please select your current residence type.
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House
Apartment
Condo
Townhouse
Mobile Home
Other
If you answered "other" above, please explain here:
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If you rent, does your landlord and lease allow pets?
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Yes
No
Unsure
N/A
Including yourself, how many people live in your household?
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How long have you lived at this address?
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Less than one month
1-2 months
3-6 months
6-9 months
9-12 months
1-2 years
3-5 years
6-10 years
10 + years
Please list the ages & relationship of those who live in your home.
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Is everyone in your household aware that you are planning to adopt a pet?
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Yes
No
N/A
Does anyone in your household have allergies to dogs/cats?
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Yes
No
Possibly
N/A
Are you familiar with heartworm and heartworm prevention?
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No
Yes
On average, how many hours per day will your pet be left alone?
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Will this pet be predominantly living inside, outside, or both?
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Inside
Outside
Both
Do you have a completely fenced-in yard? If so, what kind of fence?
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Wood
Chain Link
Electric
Plastic
Iron
Other
Other (I do not have a fenced yard)
If you answered "other" above, please explain:
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If you do not have a fenced yard, how will you let the animal out?
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Where will the animal sleep?
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In bed with me
In bed with my child
In a dog / cat bed
In a kennel / crate
Wherever he or she likes
Outside
Other
If you answered "other" above, please explain:
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Will the animal spend any time in the garage?
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Yes
No
N/A
If the animal will spend time in the garage, please explain when/why:
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What would you do with your animal if you had to move?
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Take him / her with me
Give to family or friend
Return to shelter
Other
If you answered "other" above, please explain:
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Are you willing to take responsibility for this animal for the next 10-20 years?
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No
Yes
If no, please explain:
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I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal.
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Yes
No