First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Cell Phone*

Corner of Kindness requires adopters to be 18 years of age or older to apply to adopt an animal. If you are not 18 please STOP and have your parent/guardian complete this application. I certify that I am 18 years of age, or older. *
Choose one: Yes No

Who are you interested in adopting? You can name more than one dog or cat if you are interested in multiple.*

What about this pet interests you most?*

Do you own or rent your home? *
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have an animal?
Choose one: Yes No

In what type of home do you live?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

How many adults reside in your household?*

How many children live in the home? Please list their ages. *

Please list your current pets (Include name, breed, gender, age)*

Are your current pets up to date on vaccines? If no, please explain.*

Are your current pets spayed/neutered? If no, please explain why not.*

Veterinarian's Name and Phone Number*

Who in the household will care for the pet?*

What traits are you looking for in a pet?

Will the animal be kept inside or outside?*
Choose one: Inside Only- animal will live indoors but may go outside to play, potty, and go for walks Outside Only- animal will primarily live outside or in a garage/doghouse/outbuilding

How much time will the animal spend alone during the day*

Is your yard fenced*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

If you do not have a fence how will you keep your animal from leaving your property? Dogs getting out and lost/hit by cars is our biggest concern! (Dogs only- Cats should never be outdoors)

Describe how you will train the pet*

Have you ever given up a pet? If yes, please explain*

What characteristics would you NOT tolerate in an animal?

If your animal displayed one of these behaviors/characteristics what would you do?

Under what circumstances would you return an animal? (Returning an animal means forfeiting the adoption fee - adoptions are non-refundable)*

How did you hear about us*

I understand that this form does not guarantee me adoption of listed animal(s) nor does it obligate me to adopt listed animal(s)*
Choose one: Yes No