Adoption Application

First name

Last name

Phone number

Address (Street, City, State, ZIP)

Do you own or rent your home?

Landlord name & phone number

Type of home

Your yard is

Place of employment

Ages of children in home

Do you have pets in the home?

Breed, gender, and ages of pets in home

Are your pets spayed/neutered?

Name and phone number of vet clinic you use or intend to use

Name of pet you are interested in adopting

Where did you hear about this pet?

Why are you looking for a pet and why are you interested in this pet?

Have you ever lost or surrendered a pet? If YES, please explain.

Someone from C.A.P.P. may do a home check before adoption. Do you have any objections to this?

Reference 1 name and phone number

Reference 2 name and phone number

All our dogs are normally $100 to adopt, unless stated otherwise.

Some dogs may require a fence. All pets in the adoption home must be current on shots, flea/heartworm preventative and spayed/neutered unless you have a medical reason signed by your vet as to why it cannot be done.