adoptionapplication
Save-A-Life Adoption Application
Name
Email Address
Enter a valid email address or leave blank.
Street Address
City, State, Zip Code
Home Phone
Work Phone
What brought you in to look at pets today?
How long have you thought about getting a pet?
Are you interested in a:
Cat
Kitten
Dog
Puppy
Other
What size pet would you like?
Toy
Small
Medium
Large
Giant
Is there a particular breed or any specific type pet you are interested?
YES
NO
If yes, describe
If the type of pet is not available today, would you like to be contacted if we do get one?
YES
NO
Breed/Type of Last Pet 1
Veterinarian of Last Pet 1
Was Last Pet 1 spayed or neutered?
YES
NO
Was Last Pet 1 shots kept current?
YES
NO
Was Last Pet 1 kept indoors or outdoors?
Where is Last Pet 1 now?
Breed/Type of Last Pet 2
Veterinarian of Last Pet 2
Was Last Pet 2 spayed or neutered?
YES
NO
Was Last Pet 2 shots kept current?
YES
NO
Was Last Pet 2 kept indoors or outdoors?
Where is Last Pet 2 now?
Breed/Type of Last Pet 3
Veterinarian of Last Pet 3
Was Last Pet 3 spayed or neutered?
YES
NO
Was Last Pet 3 shots kept current?
YES
NO
Was Last Pet 3 kept indoors or outdoors?
Where is Last Pet 3 now?
Have your present and past dogs been on heartworm preventative?
YES
NO
If so, what brand?
Do you own your home?
YES
NO
Do you have a fenced yard?
YES
NO
What type of fence?
How high?
If you live in an apartment, which complex?
What is the pet policy at the apartments?
Landlord's name / number
Pet deposit fee
Indicate any restrictions on size, number, etc. of pets in your home
How long have you lived at this address?
List the ages of any children in your home
Does you or your spouse's job require you to relocate?
YES
NO
If yes, how often?
If you had to relocate what would you do with your pet?
Who will be the primary care giver for your new pet?
How many hours a day will the pet be home alone?
How will you exercise your pet?
How will your pet share your free time activities?
What changes in your daily routine do you think you will need to make to accommodate your new pet?
What arrangements would you make for your new pet when you go on vacation?
Please indicate what characteristics are important to you for your new pet
HOUSE/LITTER BOX TRAINED
INDOOR ONLY (EXCEPT TO TOILET)
FRIENDLY WITH STRANGERS
STAYS OFF FURNITURE
SLEEPS IN BED WITH YOU
KNOWS SOME OBEDIENCE
DOESN'T NEED GROOMING
GOOD WITH CHILDREN
OUTDOOR ONLY
VERY ACTIVE
CAN BE LEFT ALONE
QUIET
LIKES TO RIDE IN CAR
DOESN'T SHED
GOOD PROTECTOR
INDOOR/OUTDOOR
LESS ACTIVE
GOOD WITH OTHER PETS
WILL ALERT BY BARKING
IS A "LAP" PET
DE-CLAWED (CAT)
Would you consider
A SPECIAL NEEDS PET
AN OLDER AGED PET
A HANDICAPPED PET
Which pet from our PetFinder list are you interested in?
Foster home email address (located to the right of the picture on PetFinder after you click on the picture to enlarge it)
Enter a valid email address or leave blank.
What is your date of birth?