Adoptadoptapet2024-03-21T16:29:06+00:00

Adoption Application

Your answers to this application help us find the best possible match between you and an animal in our care. The more we know, the better we are able to make each adoption successful.

Date *

I am applying to adopt:

Is it a cat or a dog: *

Dog

Cat

Applicant Info

Name *

Address *

City *

State / Province *

Zip Code *

Cell Phone *

Home Phone

Email address *

Work Hours *

Occupation: *

Spouse Occupation:

Veterinarian Info

Name of Veterinarian:

Name your pet records are under:

Vet Address:

Vet Phone

May we contact your vet? *

Yes

*Your vet may require your permission to release records so you may need to contact them to authorize release of records to us.

Home Information

Pet will live with or have as regular visitors:

Small Children

Other Children

Elderly Persons

Ages(s) of children:

Other Pets:

Other Dogs

Other Cats

Other non-canines/felines

Do you rent or own? *

Own

Rent

If rent, may we contact your land lord?

Yes

Landlord name and contact information:

Is your yard enclosed with a fence? *

Yes

Is the fenced area attached to the house? *

Yes

What is the type and height of the fence?

Reason for Adopting? *

Have you ever owned a dog and/or a cat? *

Yes

What Kinds?

Do you still have the dog/cat? If not, tell us why?

Where will the dog/cat be housed? During the day: *

At night: *

How many hours per day will the dog/cat have to be alone: *

How much time could you spend exercising your dog? *

In order to adopt an animal from this program, it may become necessary for you to have a personal interview/home visit with one of our volunteers. The purpose of the interview is to acquaint you with any problems in particular with the animal for which you are applying for adoption. When would you be available? *

Please list three references, their addresses and phone numbers:

Reference: *

Reference:

I have read the Aurora Animal Shelter's terms of adoption as stated in the Adoption Contract and am willing to abide by those terms if I adopt an animal from them. (Please type out your name and date it) *

Date *

If you are under 18, you have have a parent or guardian sign his/her approval. (Please type out your name and date it)

Date

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Adoption Application

Contact Information

Hours

Location