Find your next forever friend

What type of animal do you want to adopt? *

Dog Puppy Cat Kitten

How did you find out about us? *

Petfinder Previous Adopter Internet Search Radio Family/Friend Staff/Volunteer Facebook/Instagram Other

Looking for a pet for youself or someone else? *

Myself Someone Else

Street Address *

Apartment Number (if applicable)

What breed type are you looking for?

Any size requirements when fully grown?

What length or type of hair?

What age range are you looking for?

Have you ever adopted from us before? *

No Yes

Have you had any pets in the last 12 months? *

No Yes

When did you last have a pet?

Are you financially prepared to pay for routine vet care and emergencey medical care? *

No Yes

Have you ever surrendered an animal to us? *

No Yes

Do you own or rent your home? *

Own Rent Someone else owns the Home Someone else rents the Home

Please select your current residence type. *

House Apartment Condo Townhouse Mobile Home Other

How long have you lived at this address?

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

Including yourself, how many people live in your household? *

Please list the ages & relationship of those who live in your home. *

Do children regularly visit your home? *

No Yes

Does anyone in your household have allergies to dogs/cats? *

Yes No Possibly N/A

On average, how many hours per day will your pet be left alone?

Where will the pet be kept when alone?

In general, where will they be kept during the day?

Where will the animal sleep? *

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

Check all that apply: I want the pet for:

If your newly adopted pet begins to display troubling behavior (i.e. chewing/scratching furniture, having accidents in the house/outside litter box, barking, being destructive) what would you do?

For what reason(s) would you consider returning/giving up the animal?

You understand that:

• By signing below I acknowledge, agree, and represent that I am aware of and assume the many risks associated with being around animals, including but not limited to the risks of being bitten, scratched, jumped upon, knocked over, chased, tripped, infected with a disease or parasite, or otherwise injured or frightened, as well as the risks of damage to personal property.
• I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way.
• I understand that submitting this form does not guarantee that this animal will be available to adopt.
• You are also aware that we cannot guarantee the health and temperament of the animal.

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