Big Hearts Animal Welfare Adoption Application

Thank you for your interest in adopting through Big Hearts Animal Welfare!  This application is designed to help ensure that the animal that you are interested in adopting is compatible with your lifestyle.

To be considered as an adopter, you must:

  • Have identification showing your present address.
  • Be able to spend the time and money necessary to provide training, medical treatment, and proper care for an animal.
  • If renting, have the consent of your landlord/leasing agent.
PERSONAL INFORMATION
Name *
Name
Address *
Address
Primary Phone *
Primary Phone
Do you consider yourself? *
HOUSEHOLD INFORMATION
Are you employed? *
Is your spouse/partner employed? *
Do you live in a: *
Do you: *
If you RENT, do you have permission from your landlord/leasing agent to have animals?
Does any member of your household have an allergy to animals? *
Are all family members in agreement in adopting this animal? *
Do you have a secured yard (e.g. fence or wall)? *
Is the entrance to your yard kept locked?
Do you have a pool or spa? *
Is your pool/spa covered or fenced in?
PET INFORMATION
Are all of your pets spayed/neutered?
Are all of your pets current on their vaccinations?
Have you ever given a pet up to a shelter? *
Have you ever had a pet euthanized? *
NEW PET INFORMATION
Will your new pet be living: *
If your new pet displays undesirable behavioral issues, what will you do? *
Are you willing to take responsibility for this animal for the duration of its life (which could be 10-15 years for a dog, and up to 20 years for a cat? *
Will you agree to contact Big Hearts Animal Welfare should any problems arise, and to not rehome or surrender the animal to a shelter? *