Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do children in household have experience with this kind of animal?

Yes

No

N/A

Have you discussed this application with everyone in your household?

Yes

No

If you rent, do you have permission on your lease or from your landlord to have pets in your rental?

Yes

No

N/A

Is this your first dog/cat/animal?

Yes

No

Are you comfortable using a crate for your animal?

Yes

No

N/A

What energy level/temperament are you looking for in an animal companion?

High- we are very active and looking for an active companion

Medium-High- I go on long walks and/or enjoy moderate activity with my animal

Medium- I go on a mile or more walk or enjoy moderate enrichment

Low- really hoping for a snuggle buddy to watch TV with me

Other

What training needs are you willing to work on with an adopted animal?

House Training or Litter box training

Leash Training

Enrichment; staying busy with toys or games

Crate Training

Basic commands

Other

All animals- even adult animals can have accidents and behavior struggles in a new place. They need close supervision and help during transitions to their new home.

I understand

I have questions

Have you considered the financial responsibility?

This includes cost of food, veterinary care, grooming expenses, and other expected and unexpected costs.

Yes, I have considered the financial responsibility.

I have questions

Medical Conditions *

All animals we adopt out have been checked for medical issues and any known issues will be disclosed prior to adoption. Once the animal is adopted, I understand it will be my responsibility to care for any and all medical care starting immediately upon adoption.

I understand

I have questions