Share the Love Adopt Today! View our DogsView our Cats Adoption Application *Required Field Animal's Information Type of Pet: ---DogCatOther 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?* ---We own our homeWe rent our home Landlord's Name & Phone Number Do you have your landlord's permission? ---Yes, I doNo, I don'tI haven't asked yet Do you have an enclosed, fenced in yard?* ---YesNo 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?* ---YesNo Please list all other current pets: Have you owned any other pets in the past 10 years?* ---YesNo 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. IndoorsOutdoorsCrateGarageBarnOther Where will this animal be kept at night?* Check all that apply. IndoorsOutdoorsCrateGarageBarnOther 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?* ---YesNo Are you committed to providing annual vet care for your pet?* ---YesNo What would you do if your pet were diagnosed with an unexpected illness?* Are you aware some ailments are managed through daily medication?* ---YesNo Are you committed to providing such care if necessary for your pet?* ---YesNo Are you ready and willing to take responsibility for this animal for the rest of its natural life?* ---YesNo 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?* ---YesNo Would you consider getting this cat/kitten declawed?* ---YesNo 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: * Submit Application Questions about the process? Send a Message l.e.a.v.e b.l.a.n.k Send Message Join Our NewsletterLorem ipsum dolor sit amet, consectetur adipiscing elit. Aliquam ut lorem placerat, laoreet magna non, sagittis augue. Aliquam felis metus. Success! Email Subscribe FollowFollow