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Adoption Application

Do you have your heart set on a specific pet?  If so, from our AVAILABLE ANIMALS (Dogs / Cats) page, click to view the details of that animal.  Then, within that animal’s profile, click the APPLY FOR ADOPTION link.

This application should only be used if you are not sure which animal you want yet and are just looking for a pre-approval on adoption.

Thanks!

    *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