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Is there a pet on our website you are interested in? If yes, please post pet's name here. If no, please describe kind of pet you are looking for. *


Adult 1 Full Name
Adult 1 Phone
Adult 1 Email
Adult 1 Drivers Lic No and State
Adult 1 Date of Birth
Adult 2 Full Name
Adult 2 Phone
Adult 2 Email
Adult 2 Drivers Lic No and State
Adult 2 Date of Birth
Address, City, State, Zip
List any other adults and children in the home with ages and if any medical conditions
Do you own or rent?
Type of Residence (home/apartment/condo/etc)
If Rent, please list landlord's name and phone number.
Do you give us permission to contact your landlord if we move forward with an adoption or adoption trial?
If you are adopting a dog, do you have a fenced yard? If yes, please describe fencing type and height and condition.


Pet 1 Name
Pet 1 Type and Breed
Pet 1 Age and any medical issues
Click all that apply to Pet 1
Pet 2 Name
Pet 2 Type and Breed
Pet 2 Age and any medical issues
Click all that apply to Pet 2
Pet 3 Name
Pet 3 Type and Breed
Pet 3 Age and any medical issues
Click all that apply to Pet 3
Pet 4 Name
Pet 4 Type and Breed
Pet 4 Age and any medical issues
Click all that apply to Pet 4
If you have more than 4 pets, please list each here with the same information above. We've provided plenty of space.
Vet 1 Name, Clinic Name and Phone Number.
Vet 2 Name, Clinic Name and Phone Number, if applies.
Please list any pets that you have had in the last 5-8 years that are not listed here and where they are now (passed away, rehomed, etc).
Please check all that apply


How much do you expect to spend on your new pet yearly? Please describe expected expenses.
If you go on vacation or have to leave for any reason for an extended amount of time, what will you do with your pet?
Where will your pet be when you are home? Inside, outside, both, crated, chained, other. Please describe.
How many hours per day will your pet be alone?
When left alone, what type of shelter will you have for your pet? Alone in home, crated in home, backyard with access to dog house or garage, etc. Please describe.
What type of training will you be providing for you new pet? None, I'll train, Petsmart Basic, Personal Trainer, etc. Please describe.
If you will be training your pet, please describe how you would handle training and discipline. Bark Collar, Shock Collar, Crating, Loud Noise, Newspaper, Swatting, Squirting with Water, etc. Please describe.
Describe a circumstance that would cause you to rehome your pet(s) or let them go to a humane shelter.
Have you adopted from a rescue group before? If so, please list their name(s) and number(s) here as part of your reference(s).
Please list two other references including full name and phone number and/or email.
Is this pet a gift for someone? If so, please describe the situation in which pet would be given and tell us about the giftee.
Check All That Apply
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