www.animalwelfaresociety.org - The Animal Welfare Society - Adoption

Due to the high volume of applications we are not in position to return messages or call everyone. We will keep applications on file for two months and request that people contact us to follow up on applications. Thank you.

Fill out this form, then click the Prepare Printable Form button at the bottom. Print the resulting form and bring it to the shelter with you. Be as complete as you can, the more information we have, the easier it will be for all concerned.

If you would prefer, you can use our alternate Online Adoption Form, which will be sent directly to us electronically when you submit the form.

Fields marked with a red asterisk * are required. You must provide some information for required fields.

Name:	*
Home Phone:	*
Work Phone:	*
Mailing Address:	*
City:	*
State:	*
Zip:	*
Email:
Physical Address (if different from above):
City:
State:
Zip:
Driver's License Number:	*
Expiration Date:	*
DOB (mm/dd/yy):	*

Where are you employed?	*
If not employed, how will you provide for the animal?
Do you rent or own?	*
If you rent, please list name and phone number of landlord
Please check one type of residence.	*	Apartment House Condo Mobile Home DormOther
How long have you lived at this address?	*
Previous address?
Are you planning to move in the near future?	*
If yes, what will you do with the animal?

Have allergies ever been a problem in your household?	*
What pets do you have now?
How many dogs?	*
How many cats?	*
How many other animals?	*
Are these pets spayed or neutered?
Up to date on vaccines?
Who is your veterinarian?
Can we call them?

I am interested in a:	*	Dog Cat Other
Name of animal:
Who is this animal for?	*
Why do you want this animal?	*
Where will this animal be kept during the day?	*
At night?	*
How many adults live in your home?	*
Please list the full names of all other adults in the home:	*
Kids?	*
Their ages?
How many hours will this animal be left alone?
Daytime?	*
Nighttime?	*
If you cannot keep this animal for any reason, what will you do with it?	*
Would you allow an AWS representative to call or visit to see how the animal is doing?	*
How did you hear about our shelter?	*

If interested in a cat:
Will this cat be allowed outside?
Will it wear a collar and ID tag?
Will this cat be declawed?
Do you know about the alternatives to declawing?

If interested in a dog:
When outside, how do you plan to confine the dog?

If interested in a small animal:
Have you previously cared for this species?
What kind of housing will this animal be kept in?