Online Adoption App

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CLASP PET ADOPTION APPLICATION

PET INFO

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. *

ABOUT YOU 

Adult 1 Full Name

Address, City, State, Zip

Adult 1 Phone

Adult 1 Email

Adult 1 Drivers Lic No and State

Adult 1 Date of Birth (applicants must be at least 25 yo)

Adult 2 Full Name (all adults in the home must be listed with their DL)

Adult 2 Phone

Adult 2 Email

Adult 2 Drivers Lic No and State

Adult 2 Date of Birth

List any other adults (and DL number) 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?

yes

no

If you are adopting a dog, do you have a fenced yard? If yes, please describe fencing type and height and condition.

ABOUT CURRENT PETS

Pet 1 Name

Pet 1 Type and Breed

Pet 1 Age and any medical issues

Click all that apply to Pet 1

Current on Rabies

Current on Annual Vaccinations

Microchipped

Current on Heartworm Prevention

Current on Flea Prevention

Spayed / Neutered

Good with Dogs

Good with Kids

Good with Cats

Crate Trained

Potty Trained

Leash Trained

Knows Basic Commands

Indoor Only

Outdoor Only

Indoor/Outdoor

Pet 2 Name

Pet 2 Type and Breed

Pet 2 Age and any medical issues

Click all that apply to Pet 2

Current on Rabies

Current on Annual Vaccinations

Microchipped

Current on Heartworm Prevention

Current on Flea Prevention

Spayed / Neutered

Good with Dogs

Good with Kids

Good with Cats

Crate Trained

Potty Trained

Leash Trained

Knows Basic Commands

Indoor Only

Outdoor Only

Indoor/Outdoor

Pet 3 Name

Pet 3 Type and Breed

Pet 3 Age and any medical issues

Click all that apply to Pet 3

Current on Rabies

Current on Annual Vaccinations

Microchipped

Current on Heartworm Prevention

Current on Flea Prevention

Spayed / Neutered

Good with Dogs

Good with Kids

Good with Cats

Crate Trained

Potty Trained

Leash Trained

Knows Basic Commands

Indoor Only

Outdoor Only

Indoor/Outdoor

Pet 4 Name

Pet 4 Type and Breed

Pet 4 Age and any medical issues

Click all that apply to Pet 4

Current on Rabies

Current on Annual Vaccinations

Microchipped

Current on Heartworm Prevention

Current on Flea Prevention

Spayed / Neutered

Good with Dogs

Good with Kids

Good with Cats

Crate Trained

Potty Trained

Leash Trained

Knows Basic Commands

Indoor Only

Outdoor Only

Indoor/Outdoor

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

I would be willing to pay up to $120 per per, per year for basic vaccinations and preventative.

I would be willing and able to pay $500 and up for additional vet bills incase of illness.

I do not believe in traditional vet care and would seek holistic options for vaccines, preventatives and illness.

I do not believe in traditional vet care and would not offer vaccines, preventative or vet care in case of illness.

OTHER INFO

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

I am 25 yrs old or older

I have proof of identification and current address

I have consent to adopt this pet from all adults living in the home

All my current pets are current on vaccinations

All my current pets are spayed/neutered

All my current pets are on flea and heartworm preventative

All my pets are treated humanely and as members of the family

All my pets receive human interaction and love daily

All of my pets are transported safely inside a vehicle any when needed

All of my pets are for companion purposes, not for fighting or hunting

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