Adoption Application

Dog Adoption donation covers all vaccines up to date, flea and heart worm preventative up to date, spay/neuter surgery for adult dogs and a microchip! Donation is due day of adoption. We accept Cash, Credit/Debit, Check or Money Order.

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No refunds on adoption donations.

Standard adopt fee 1 year+: $275

Dogs under 1 year: $350

(Spay/Neuter contract in agreement for puppies)

Senior (10+): $175

Bonded Pair: $450

Bonded Senior Pair: $350

Extra Large Breeds ex: Mastiffs/Great Danes/Bulldogs: $450 each (applies to bonded pairs as well if they are in this breed category.)

Please check your e-mail after submitting your form to schedule a home visit!

Name(required)

Phone Number(required)

Email(required)

How Many Children In Your Home?(required)

Are there any others residing in your home?(required)

Home Address, City, State, Zip Code

Is this where the pet will live with you?

How long have you resided at this address?

If less than 2 years, what was your last address?

Do You Rent or Own?

Apartment or House?

Who would you like to adopt and what do you think makes this particular pet a good choice for you?(required)

Have you had experience with this particular breed?

Do you have a fence around your yard? Please describe:

How many hours are you away from home during the average work day?

Where will your pet be kept at that time?

Where will your pet be kept during that time?(required)

Where will your pet be sleeping during the night?

What kind of other pets do you have in the home?

Are they all current on their vaccinations?

Your Veterinarian's Name:

Vet's Address & Phone Number(required)

Does anyone in the household have allergies?

Have you ever had to give up a pet? Please explain:

I, (name) certify that all information provided on this form is true. I give permission to Rescuer to verify information as needed. I understand that a home check may be mandatory prior to adopting a pet, also. Any false statement will terminate potential adoption. Please sign your name below:

Date

Questions or Comments