Full Name (Please print name(s) of all adults in the home)
Address
City
State
Zip Code
Phone Number
2nd Phone Number
Email Address
Do you attend:
Work
School
Both
Neither
Employer:
Spouse's Employer:
Do you live in a:
House
Apartment
Condo
Dorm
Mobile Home
Townhouse
Loft
Do you:
Rent
Own
Live w/Parents
Landlord's Name:
Landlord's Phone Number:
How long have you been at your current address?
If less than 1 year please list your previous address and how long you were there:
Number of adults in your household:
0
1
2
3
4
5+
Number of children in your household:
0
1
2
3
4
5+
Ages of children, please list all ages:
Who will be primarily responsible for the care (feeding, grooming, exercise and training) of your new pet?
Why do you want to adopt a pet? Please check all that apply.
Companion
Gift
To Breed
For a Child
Companion For Another Pet
Other
How many dogs do you have now:
0
1
2
3
4
5+
How many cats do you have now:
0
1
2
3
4
5+
Please list any pets you now have or have had in the past. Also list their type/breed, age, sex, and if they're fixed? If you no longer have the pet please tell us why. If you do not answer all parts of this question, your application will not be considered:
Have you ever adopted an animal from a shelter?
yes
no
If yes, where and when?
Are your current pets up to date on vaccinations?
What veterinarian would have your pet(s)' records (past/present)?
Which veterinarian do you plan to use?
What do you or would you do to prevent fleas on your pet?
What do you or would you do to prevent heartworms in your pet?
How much do you anticipate spending yearly on food, vet care and other expenses for your pet?
Do any members of your household have allergies? If yes, please describe.
Do you have any plans to move in the near future?
Yes
No
Maybe
If at some time you do move, what will you do with your pet?
Please check any of these reasons you feel are acceptable for getting rid of a pet:
Having a human baby on the way.
Moving to a home that doesn't allow pets.
Someone in the household is allergic.
The pet is not house trained.
The pet is destroying property.
The pet is too hyper.
None of the above.
Have you ever had a cat declawed?
Yes
No
When is it appropriate to declaw a cat? Check all that apply:
When you get them fixed.
If they scratch furniture or carpet.
If they scratch people.
Never
What is declawing?
How much time will this pet be alone (without human companionship) each day?
Will your pet stay:
primarily inside
primarily outside
outside only
they will have a doggy door
Where will the pet primarily be kept when home alone the first few months?
Outside
Run of the house
Crate
Bathroom
One room in the house
When your pet is outside, how will you contain them in yard?:
chain link fence
privacy fence
chicken wire fence
large pin
leash
tether
chain
electric fence
train them to not run away
How will you exercise this pet and how often?
What brand/type of food will you feed your pet:
How often will you feed your pet:
once a day
twice a day
three times a day
leave food out all the time
Describe how you will house train your pet:
How often will you take this pet to a dog park:
often
sometimes
never
How will you discipline or correct your dog?
Have you ever owned a pet that had babies? If yes, describe how you found homes for the babies
A dog can live well over 10 years and requires a major commitment of time, finances and emotion. Why do you feel you can make that kind of commitment at this time?
Is there a specific ABR adoptable pet you are interested in?
Describe your ideal pet (personality, energy level, size, age, sex, etc.):
We constantly upload photos of adoptable pets to our Facebook page, please copy and paste the link to your page so you can get more details and photos about our adoptable pets.
By submitting this form, I certify that the information given is true and correct and I recognize that any misrepresentation of facts will result in my losing the privilege of adopting a pet. I also give my veterinarian permission to release any vet care records and information about my current and past pets to ABR. I understand that this application is the property of the ABR and that ABR has the right to deny my request to adopt. Please type your name below to represent your signature.