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Adoption Application
Adoption Application form
Thanks so much for wanting to adopt a shelter pet! Pets are adopted on a first come, first served basis. Completion of this application does not hold the pet for you, it merely speeds the process up. If you are very interested in a particular pet, please call the shelter at 812-988-7362 to ask about a deposit to hold the pet.
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Best Phone Number
*
Alternate Phone Number
Address
*
Street Address
City
Alabama
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District of Columbia
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Armed Forces Americas
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State
Zip Code
Rent or Own
*
Rent
Own
If rent, Landlord's
*
Name
Phone Number
We may call your landlord to verify that you can have a pet.
List information for everyone that lives at this address
*
Name
Relationship
Age
Click on the plus sign on the far right to add more people.
Employment Information
*
Employer Name
Length of Time Employed
Hours Worked/ Week
What species of Pet do you want to adopt?
*
Cat
Dog
Both
Reason for wanting pet?
*
Family Companion
Companion for another pet
Hunting dog
Mouser
Guard dog
To breed
Gift
Other
Check all that apply
List any preferences - breed, gender, size, age, etc
List pets you've had in the last 5 years that you no longer have
Species or Breed
What happened to them?
Click on the plus sign on the right side to add more pets
List the pets you currently have
Name
Breed
Age
Male or Female
Sterilized? Yes or No
Primarily Indoor or Outdoor
Click on the plus sign on the right side to add more pets.
Current Veterinarian: Name, Address and Phone number
*
We may call your veterinarian to verify pet information and to check on vaccination history. If you do not currently s veterinarian, please enter Not Applicable.
How many hours a day will the pet be left alone?
*
Where will the pet be during the day?
*
Inside, free roaming
Inside, in a crate
Outside in a fenced area
Outside on a tether
Outside, free roaming
Where will the pet be at night?
*
Inside, free roaming
Inside, in a crate
Outside in a fenced area
Outside on a tether
Outside, free roaming
If interested in a dog, do you have a fence
*
Yes
No
If you have a fence,
*
Type
Height
Enclosure size
If no fence, how will you confine your dog to your property?
*
Describe the exercise plan for your pet
*
Describe plans for care of your pet while away
*
Are you willing to crate train your dog
*
Yes
No
Are you willing to take your dog to an obedience course
*
Yes
No
If not willing to attend an obedience course, why not?
*
What behaviors would cause you to give up your pet?
*
Describe the type of pet that would best fit with your family
Name of the pet(s) you are interested in adopting
How did you find out this pet was available for adoption?
Map to Shelter
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