Your Contact Information

Physical Address

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Mailing address different than your physical address?

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Your Current Living Situation

Do you currently:
OwnRentLive in military housing

Type of Home
Single family homeApartmentCondoShared yardTrailerDuplexOther

How long have you lived at this address?
< 1 year1-3 years3+ years
How long did you live at your previous address?
< 1 year1-3 years3+ years
Does your whole family agree to adopting a pet?
YesNo

Are there children in the home or regularly visiting?
YesNo

Does anyone smoke inside the home?
YesNo

Is anyone in the home allergic to pets?
YesNo

Do you currently have any pets?

Have you also had pets in the past?

Reasons For Choosing To Adopt

Why do you want to adopt a pet now?

Who will be primarily responsible for the new pet?

Where will the pet sleep at night?

Where will the pet spend most of its time?
HouseYardCrate/KennelGarageOther

How long will it be left alone each day?

Where will be the pet be kept when no one is at home?
HouseYardCrate/KennelGarageOther

Do you have a fenced yard?
YesNo

For cats:Kept indoorsAllowed outdoors

When outside, will the pet be restrained?
YesNo

How will the pet be exercised, and how often?

How will the pet be trained?
OwnerTraining classesOther

Which veterinarian/clinic will you use?

If you go away for a few days, who will care for your pet?
FamilyFriendSitterBoarding KennelOther

Are you planning to move in the near future?
YesNo

If moving, what is your plan for your pet?

What is your plan if for some reason you could not keep this pet?

May we arrange to visit your home as part of the adoption process?
YesNo
Any other information you wish to include, or answers you wish to expand on, please tell us here