Application Form for Adoption

Name___________________________________________________________

Address_________________________________________________________

City _______________________ State_________________ Zip Code_______

Home phone________________Work phone____________Cell_____________

Email address__________________________

How did you hear about us?__________________________________________

What is your occupation?____________________________________________

What type of hours do you work?____________Do you travel often?__________

What would be your plans for the animal when you go out of town?___________

Which dog/cat are you interested in?___________________________________

Why are you interested in this one?____________________________________

Do you own your own home?_______Rent?__________If you rent, do you have

your landlord's permission to take in a pet?______________________________

Who is your landlord? (Please include name and phone number)_____________

Are there any restrictions with your apartment/rented home?________________

How long have you lived at this address?________________________________

Do you have a fenced in yard?________________________________________

If not, how to you plan to keep the dog contained?________________________

How do you plan to exercise the dog?__________________________________

Have you ever had a pet before?_______________What type?______________

How long did you have your pet?_________________ What happened to them?

Do you currently have any pets?___________

Please list them below:

Dog/Cat/Etc Name Sex Age Spayed/Neutered Uptodate on shots

Please give your vet's name and phone number__________________________

Who all lives in the home?___________________________________________

Any children?_________________Ages?_______________________________

Is anyone allergic to dogs or cats? Dust?_______________________________

Are you planning or expecting a child?__________________________________

Do all members of the home work?_______________Will there be anyone home

during the day?____________________________________________________

For a dog, how long will the dog be left alone?____________________________

Are you willing to try crate training?____________________________________

For cats, where will the cat live? Inside, outside or both?___________________

If the kitten/puppy is too young to have finished his/her shots and/or hasn't been

spayed or neutered, do you agree to continue this process (Renee Huntley will

cover these expenses)? This would involve taking the animal to a designated vet

on a regular schedule until completed?_________________________________

If the animal doesn't work out, do you agree to return it to us?_______________

What would you do with the animal if you were to move?___________________

What types of behaviors would cause you to give up the animal?_____________

Would you agree to a home check?____________________________________

Do you agree to send occasional updates on the pet? We love to get them for

the website!________________

Fostering pets is very expensive. Therefore, to try to recap some of the

expenses, we charge an adoption fee. For dogs, this could range from $100-

$150. For cats, $75 --$100. Are you willing to pay to help with expenses?_____

(No money is made in this process)

I testify that the information provided is truthful and correct. Misrepresentation of

information could result in removal of the animal from the adoptive home.

Signed and Dated ____________________________

Signed and Dated _____________________________

Either handwritten or electronic signature is fine.

Please send to

Renee Huntley

crhuntley@hotmail.com