Adoption Application

Basic Information

Animal Interested In:

First Name: *

Last Name: *

Date of Birth: *

Street Address: *

City: *

State: *

Zip Code: *

Home Telephone: *

Email Address:

Drivers License Number: *

Your Residence

Type of Residence: *

House

Mobile Home

Apartment

Do you...: *

Own your home

Rent

Live with family/friends

If you rent, please enter your landlord's contact information

Name:

Phone Number:

How long have you lived at your current address?: *

If less than one year, please enter your previous address

Street Address:

City:

State:

Zip Code:

Do you plan on moving within the next 6 months?: *

Yes

If you move in the future, what will you do with your pet: *

Number of adults in household: *

Number of children in household: *

Ages of children in household:

Name of spouse or other adult in household:

Who will be responsible for your pet: *

Employment

Are you currently employed?: *

Yes

Company Name:

Length of Employment:

Additional Information

Name of Your Veterinarian: *

Veterinarian's Address (City/State): *

Veterinarian's Phone Number: *

What is the name used at your vet's office: *

It may take a month or more for your pet to adjust to your home. Are you prepared to allow this much time: *

Do you agree to return the pet to Friends of Strays in the event you can no longer keep it: *

Are you willing to let a representative of Friends of Strays visit your home: *

Have you ever adopted a pet from any humane organization in the past: *

If yes, please enter the name of the organization:

Have you ever released an animal to a humane organization: *

If yes, please enter the name of the animal below and the date you released it:

Please confirm your application: *

By submitting this application, I certify that the information provided on this application is true and I recognize that any misrepresentation of facts may result in losing adoption privileges. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS IN THIS APPLICATION AND UNDERSTAND THAT VETERINARIANS, LANDLORDS AND OTHER HUMANE ORGANIZATIONS MAY BE CONTACTED. I further understand that the adoption of this animal may be delayed until this information can be verified. If at any time, a representative from Friends of Strays and/or local authorities determine the animal is being neglected or abused, this application will be void and Ownership will revert back to Friends of Strays. At any time during your ownership of the pet, it may be returned to Friends of Strays, with no refund of the adoption fee.

Date Submitted: *

Adopt Me!

Issacson

Did you know...

Adoption Fees

Ready to Adopt?