Adoption Application
Animal Of Interest:________________________
Your Full Name:__________________________
Are You At Least 21 Years Of Age?___________
If Under 21, Do You Have Someone Over 21 Who Will Care For This Animal In The Event That You Are Unable To?_____________
Address:________________________________ City:______________ Zip:_________
Phone # (_____)___________________ Alternate Phone # (____)_________________
Email Address:__________________________________________________________
Please answer the following questions so that we can assess your compatibility with your animal of interest...
1) Are all adult members of the household in favor of this adoption?________________
2) How many people live in the home?____________
3) Do children live in the home? If yes, what are their ages?______________________
4) Is anyone in the home allergic to this animal?________________________________
5) Do you have any other animals in the home? If yes, what species & ages are they?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
6) Are you prepared to commit a potential 15+ years to the care of this animal?_______
7) Are you prepared to provide this animal with proper veterinary care, including yearly examinations?________
8) Do you own or rent your home? If you are a renter, do you have permission to own pets? (We may ask for written proof of
this)__________________________________
9) If for any reason you have to move at any time in the future, are you prepared to find somewhere where you can take your pet(s) with
you?___________________________
10) Will this animal be mainly indoors or outdoors?_____________________________
11) Please describe up to the last 5 pets that you have owned. Include species, breed, their age at the time they passed away or no longer were owned
by you, and the reasoning as to why you no longer own each animal.....
1)____________________________________________________________________
______________________________________________________________________
2)____________________________________________________________________
______________________________________________________________________
3)____________________________________________________________________
______________________________________________________________________
4)____________________________________________________________________
______________________________________________________________________
5)____________________________________________________________________
______________________________________________________________________
12) Who is/was the last veterinarian that you routinely have seen for your current/past pets? (Please include the hospital name & city/state. Please note that we may contact this veterinarian in order to obtain a recommendation.)
______________________________________________________
Thank you for completing the adoption application for There's No Place Like Home.
We do have the right to refuse adoption of any animal, to any persons, at any time, for any reason. If we believe that you are a good fit for the adoption of the animal(s) in question, you will be notified of your approval and the adoption process can be completed. Thank you for your time and interest.