Adoption Application

To be considered as an adopter, you must:

  • Be 21 years of age or older
  • Have the knowledge and consent of your landlord¬†(if applicable)
  • Be able and willing to spend the time and money necessary to provide medical treatment and proper care of the pet
  • All dogs/cats in the home must be up to date on vaccines and must be spayed/neutered if they are 6 months or older, unless there are medical reasons for not doing so
Name of the pet you are interested in?

Name of Applicant

Email Address

Today's Date

Date of Birth

Street Address




Phone Number

Alternate Phone

How long at this address?

Type of House

HouseApartmentCondoMobile home

Do you rent or own your home?

If you rent, may we contact your landlord to obtain permission for this pet to live in your home?

Landlord Name and Contact Info

What is your occupation?

Current Employer

What type of fencing will contain your pet?

Is the fencing in good repair with no holes or gaps?

Are you adopting for yourself or someone else?

Is everyone in the household ready to adopt a pet?

How many adults in the household?

How many children? Children's ages? allergies?

If yes, and allergies are pet related, please explain what steps you will take to ensure this pet can remain in your household

What kind of pets have you had in the past?

What animals do you currently have? (Please give age, sex and breed)

Are all of your current pets spayed or neutered?

YesNoDon't Know

If no, why not?

Are all of your current pets up to date on vaccines and heartworm prevention?

YesNoDon't Know

If no, why not?

Please provide your current veterinarian name, address and phone number

What happened to the pets you no longer have?

If there are any additional details you wish to add, please list here

We will review your application and get back to you as soon as possible! Please keep in mind that we are all volunteers and work full time jobs. Thank you for your interest in one of the pets in our rescue!