What do you RENT or OWN? *
How did you hear about us?
Reason for adopting a pet?
Will your new pet be kept outside? *
If so, what type of fence? *
Do you have pets in your home now? *
Please list the names, ages and type of all pets at your residence *
(If not applicable, enter "na")
Is everyone in your household aware of your intention to adopt a pet? *
Is anyone in your household allergic to pets?
Please list all pets that you have owned in the past five years. List their current status (still owned, deceased, etc.)
Although Animal Services has provided a medical exam and some veterinary services for your new pet, the animal will need additional care. Are you prepared to provide the new pet with all necessary vet care? *
Have you ever received a citation from Animal Services, been convicted of cruelty to animals or had an animal impounded by our facility? *