Adoption Application If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required I'm interested in adopting a: * DogCat Animal Name: * Date: * Are you 21 years of age or older? (All applicants must be 21+ years of age to adopt a pet (ID required). * YesNo Have you met this animal in-person at the shelter or off-site adoption location? * YesNo How did you hear about our shelter? * Word of mouthOnline/Google searchRadiovision/Morning Coffee showFacebook/Social MediaPetfinder/Adopt-A-PetSaw at event/fundraiserEmail/Mail newsletterWalk in/drove by First Name: * Last Name: * Street Address: * City: * State: * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Postal Code: * Email: * Phone 1: * Phone 2: Join our mailing list? * YesNo Place of employment: * Residential Information: * OwnRent Length of time at current address: * Housing: * HouseCondoApartmentTrailerDormMilitaryOther If you rent, please provide your landlord’s name and phone number: Why are you interested in adopting at this time? * How much experience do you have caring for this type of pet? * No experience – but I’m excited to learn!Some experience – I’ve had a pet or two before.Lots of experience – my friends and family consider me an expert! How much experience do you have providing veterinary care for this type of pet? * No experience – but I’m excited to learn!Some experience – I have a veterinarian I can call.Lots of experience – I am comfortable giving medication and love my vet! If you currently have a veterinarian, please provide the clinic or doctor’s name/number (to help expedite the review process, please call your veterinarian in advance to give them permission to discuss your records): * How would you describe your household? * Very quiet – a few residents, not too many guests.Average – not too quiet, not too noisy.Very busy – lots of people coming and going! How many people live in your household? Adults: Children: Seniors: If children live in the household, what are their ages? Do you have currently have any pets? * YesNo Please list all the Animals in your household: Name, Species (dog/cat/other), Breed, Male or Female, Age, Neutered or spayed: Is anyone in your home allergic to animals? If so, please explain. * Have you ever surrendered an animal? If so, please explain. * If anything should happen to yourself as the owner, can arrangements be made with a trusted friend or family member to take care of your pet for short/long periods or for the duration of the pet's life? Please Explain: Dog Adopters What energy level are you looking for in a dog? High Energy (lots of exercise and play)Medium Energy (daily walks, moderate exercise)Low Energy (senior or couch potato, yard time is sufficient) What qualities are you looking for in a dog? What are your plans for your pet when you’re gone during the day/night? How will you exercise your dog? What activities will you do with your dog? Do you have a fenced-in yard? If so, what height is the fence? Cat Adopters What activity level are you looking for in a cat? High Energy (young cat that needs lots of playtime)Medium Energy (some playtime… and naps)Low Energy (calm, mature cat that spends a lot of time napping and snuggling) What qualities are you looking for in a cat? Are you willing to learn how to train your cat? YesNo Do you plan to de-claw your cat? YesNo Will you allow your cat to go outdoors? YesNo By hitting the "submit" button below, you are indicating your understanding and acceptance of the following: Adopting an animal is a long-term personal and financial commitment, often years in duration, and a very serious undertaking. Pets must be licensed with your town annually, wear a collar and tags at all times, and kept up-to-date on all vaccinations. Shelter animals may have unknown medical conditions. Upon adopting an animal, you are responsible for taking it to your veterinarian for a check-up within 7 days. Necessary treatment and costs associated with its care and keeping are your responsibility. You may return an animal within 7 days if a previously unknown medical condition is documented by your veterinarian. You may return an animal at any time if your circumstances change and caring for the animal is no longer possible. I certify that the information I have provided on this application is complete and accurate. I hereby authorize the release to the shelter of pertinent information regarding employment verification, proof of tenancy, and veterinary records and references. I understand that false information provided on this application or in person will terminate the adoption process. I understand that Voorhees Animal Orphanage reserves the right to deny an application for adoption at any time.