Adoption Application | Friends of Chilton Animals

Before you begin: Please have your veterinarian's contact information and the names of two personal references available. Completing this application does not guarantee adoption; it helps our adoption team determine which animal and home may be the best match.

1 Applicant Information

Tell us how we can reach you.

First Name *

Last Name *

Email Address *

Primary Phone *

Street Address *

City *

State *

ZIP Code *

Are you 18 years of age or older? *

2 Animal You Are Interested In

If you do not have a particular animal in mind, choose "Open to the best match."

Animal's Name

Preferred Animal

What are you looking for?

Why are you interested in adopting at this time?

4 Current & Previous Pets

Please list all current pets, including dogs, cats and other animals.

Current pets — species, names, ages and approximate size

Veterinary Clinic

Veterinarian Phone

Tell us about pets you have had in the past and what happened to them.

Have you ever surrendered or rehomed a pet? If yes, please explain.

5 Care & Commitment

Responsible pet ownership is a lifelong commitment.

Where will the animal primarily live?

Inside the home Inside/Outside Primarily outside

Where will the animal sleep?

How will you handle house-training, obedience training or behavior issues?

Are you prepared to provide routine veterinary care, vaccinations, parasite prevention and emergency medical care when needed?

Yes No

What would happen to the animal if you moved, divorced, had a baby, changed jobs or experienced another major life change?

If the adoption does not work out, what would you do?

6 References

Please provide two people who know you well and can speak to your ability to care for a pet. Please do not list someone who lives in your household.

Reference 1 — Name *

Reference 1 — Phone *

Reference 1 — Relationship *

Reference 2 — Name *

Reference 2 — Phone *

Reference 2 — Relationship *

7 Final Questions

Is there anything else you would like us to know about your household, lifestyle or the animal you hope to adopt?

I certify that the information I have provided is true and complete. I understand that providing false or misleading information may result in denial of an adoption application.

I authorize Friends of Chilton Animals to contact my veterinarian, landlord and references as appropriate to verify information provided in this application.

I understand that submitting this application does not guarantee adoption. Friends of Chilton Animals reserves the right to determine whether an adoption is appropriate for the animal and applicant.

I understand that adoption is a lifelong commitment and agree to provide the animal with appropriate food, shelter, exercise, companionship and veterinary care.

Please review your answers before submitting. Your application will be emailed to Friends of Chilton Animals for review.

1 Applicant Information

2 Animal You Are Interested In

3 Household & Lifestyle

4 Current & Previous Pets

5 Care & Commitment

6 References

7 Final Questions