We are so happy you have found a
pet you are interested in adopting from
In the name of ZOEY

Please fill out the application below, and someone will contact you as soon as possible.

Pet of Interest *

Primary Adopter's Name *

First

Last

Number of adults in the household (including roommates, houseguests) *123456+

Occupation(s) of adult(s) *

Employer(s) *

Are there children in the household? *

• Yes
• No

Age(s) of child(ren)

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry

Phone #1

Phone #2

Email *

Type of Dwelling *

• House
• Townhouse
• Condominium
• Apartment
• Ranch / Farm

Own or Rent *

• Own
• Rent

Do you have a fenced yard?

• Yes
• No
• Partial

Pets Info

Do you have any dogs?

• Yes
• No

Do you have any cats?

• Yes
• No

Tell us about your current pets

Are your current pets Spayed / Neutered? if not, Please explain why?

Will this be your first Dog or Cat?

• Yes
• No

Will this be the child(rens) first dog or cat?

• Yes
• No

Is anyone in the household allergic to pet dander/fur?

If a family member were to become allergic, what would happen to the pet?

Who would primarily care for the pet?

How many hours in a day will the pet be left alone?

How will the pet be kept when alone?

• Crated
• Free roaming
• Gated in a room
• Yard

Which rooms or areas of the home will be off limits to the pet?

If you travel, who will care for the pet while you travel?

References

Family Vet Name

Faily Vet phone number

Reference #1

Reference #1 Phone number

Reference #2

Reference #2 Phone number

General Questions

How soon are you looking to adopt?

If needed, are you willing and prepared to provide professional training?

Are you financially prepared to provide medical care in the event of an emergency or illness?

Have you ever surrendered a pet to a shelter or rescue and if so, can you tell us why?

For what reason or under what circumstances will you no longer be able to care for the pet?

Have you or any member of your household ever been convicted of any Animal Welfare Law violation such as neglect, cruelty, abandonment, etc.?

Have you ever been convicted of any crimes or violations?

Message

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