Share the Love

Adopt Today!
View our DogsView our Cats

Adoption Application

    *Required Field

    Animal's Information
    Type of Pet:
    Animal Name:
    Adopter's Information
    First Name*
    Last Name*
    Date of Birth*
    Phone*
    Email*
    Street Address
    City*
    State*
    Zip*
    How long at this address? (Years, Months)*
    Previous Address (If less than 3 years at current address)
    City
    State
    Zip
    Do you own or rent your current home?*
    Landlord's Name & Phone Number
    Do you have your landlord's permission?
    Do you have an enclosed, fenced in yard?*
    List other adults in the home?*
    If none, type "N/A".
    List children in the home & ages?*
    If none, type "N/A".
    Additional Animal Information
    Do you currently own any other animals?*
    Please list all other current pets:
    Have you owned any other pets in the past 10 years?*
    Please list all previous pets and what happened to them:
    About the Animal you are Choosing
    Why did you choose this animal?*
    If you haven't chosen one yet, type "N/A".
    How frequently will this animal be around other animals?*
    How many hours on average will this animal spend alone per day?*
    Where will this animal be kept during the day?*
    Check all that apply.
    Where will this animal be kept at night?*
    Check all that apply.
    Where will you keep this pet when you are away from home?*
    What would you do with this pet if you had to move?*
    Who would care for this pet if something happened to you? Have you discussed this with them?*
    What would you consider a good reason to give up a pet?*
    Do you have the necessary funds for vet care and supplies?*
    Are you committed to providing annual vet care for your pet?*
    What would you do if your pet were diagnosed with an unexpected illness?*
    Are you aware some ailments are managed through daily medication?*
    Are you committed to providing such care if necessary for your pet?*
    Are you ready and willing to take responsibility for this animal for the rest of its natural life?*

    For Dogs Only

    How do you plan to exercise this dog/puppy?*
    Do you plan on crate training?*
    Are you willing to work with this dog/puppy on behaviors such as chewing, barking, jumping, trying to run away, adjustment to new home and family, etc… *

    For Cats Only

    Will this be an indoor or outdoor cat/kitten?*
    Do you understand this cat/kitten may need grooming?*
    Would you consider getting this cat/kitten declawed?*
    Veterinarian Care
    Please list current and past veterinarians:*
    If none, list who you plan to use.
    References
    Please list 3 NON-RELATIVE references:*
    (Full name, State and Phone Number)
    I understand and agree with all the following statements *INITIAL EACH*
    I certify that all the information above is true.*

    I understand that adoption is a long-term commitment. *

    I understand that St. Francis Animal Shelter reserves the right to refuse/reject my application at its own discretion. *

    I understand that my electronic signature allows the release of any information necessary to process this application. *

    I understand that references and veterinarians provided will be contacted by St. Francis Animal Shelter. *

    I understand that this animal is to be returned to St. Francis Animal Shelter if you can no longer care for or house the animal. *

    Electronic Signature of Applicant: *

    Questions about the process?

    Send a Message