Please take a few minutes to fill out this application in as much detail as possible. All bold fields must be filled out for this application to be processed. Before filling out this application, please visit the Adoption Procedures page as it will answer most of your questions. You must be at least 21 years old to apply for a pet.

				First Name:
				Last Name:
				Address 1:
				Address 2:
				City:
				State/Province:
				Zip Code:
				Email Address:
				Home Phone:
				work phone:
				cell phone:
				date of adoption:
			Name of pet(s) you are interested in::
			Why are you interested in this particular pet(s)?: :
			Are there any breeds you prefer?: :
Are mixes okay?: :					yes no doesnt matter
What age of a pet would you like to adopt?: :					Puppy (0 to 1 Year) Young (1 to 2 Years) Adult (2 to 7 Years) Senior (7 to 12+ Years) doesnt matter
Would you like to adopt a male or female pet? (All dogs and cats will be altered) : :					male female doesnt matter
Do you have any personality preferences (high energy, low key, good with kids, loyal, vocal, etc...?::
What behaviors/habits do you find unacceptable in a dog?: :
Your Age: :
Your Occupation::
Names and ages of other adults living in the household::
Names and ages of ALL minors (children) living in the house: :
Are you planning on starting a family in the near future::					yes no
Do other kids visit your home on regular basis?::					yes no
Who will be primarily responsible for the daily care of the pet?: :
Do you rent , lease or do you own your residence?: :					rent lease own
If rent or lease, please provide the landlord's name and phone number::
How long have you lived at this residence?: :
Do you have a private yard? (a yard is not a requirement for most dogs): :					yes no
Is your yard fenced?: :					yes no not applicable
How high is your fence at its lowest and highest points?: :
What material is the fencing?: :
Do you have a pool?::					yes enclosed yes not enclosed no
Does anyone in your home have pet allergies?: :					yes no
Where will the dog primarily stay (house, yard, kennel, a room, crate, etc)?::
Where will the dog sleep at night (crate, doghouse, owners’ bed, couch, own bed, etc… please be specific)?: :
What parts of the house are off-limit to the dog? ::
Will this dog be allowed on furniture?: :					yes no
Do you have a doggy door?: :					yes no
On average, how many hours per day will the pet be left without a human?:
Where would the dog stay while alone (house, kennel, yard, etc…)?: :
How do you plan to exercise this dog and how frequently?: :
Under what circumstances will this dog be allowed to run off-leash?: :
Current pets Type, Breed, Age, Sex, Inside/Outside? How long owned?: :
Are all of your current dogs and cats altered (spayed/neutered)?:					yes no
What brand of food will you feed this dog and how many times a day?::
What treats (if any) do you plan on giving this dog?: :
What is the name and phone number of your current veterinarian?: :
May we contact your veterinarian?: :					yes no
ALL Previous pets Type, Breed? How long owned? What happened to the pet?: :
Please give a quick overview of your experience with animals (training, grooming, dog sitting)::
Can you financially afford to care for this pet? (yearly vaccines, food, grooming, emergency medical treatments, etc…)::					yes no
For what other reasons would you give up your animal?::
What would happen to this pet if you were to move?: :
What would happen to this pet if you were to have a child (or more children)?: :
Are you planning on taking this dog to obedience classes?::					yes no
What training methods would you use?: :
How would you punish/correct this dog for bad behaviors?: :
Would you be willing to housetrain this dog? If so, what method will you use?::
How often do you plan to have this dog professionally groomed?: :
Please provide the name and phone number of your pet groomer. May we contact them?: :
What method of flea control do you plan on using?: :
Would you object to a home visit by one of our volunteers?: :					yes no
Have you applied for adoption from us before? If so, how long ago?:
Have you ever been denied adoption by a shelter or a rescue? If so, please explain:
Is there anything you would like to add?: :
I am at least 21 years of age.: :					yes no
Signed (If submitted online, type in your name): :
todays date:
ANY MISREPRESENTATION BY APPLICANT WILL RESULT IN THE PET BEING RECLAIMED AT THE EXPENSE OF THE APPLICANT.