The application below is meant to help us find the the right pet for you - the one that best fits your
lifestyle. Please answer all questions honestly (there are no right or wrong answers) - just great pets
out there looking for the homes that best match their activity levels and personalities. We look forward
to finding the perfect pet for you!

Please note, fields marked with a red asterisk () are required.

Contact Information

First Name:

Last Name:

Address:

City:

State: Select a State... Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:

Email:

Confirm Email:

Daytime Phone:

Evening Phone:

Tell us about the pet your looking for

What type of pet are you looking to adopt? Dog Cat Rabbit Ferret Bird Horse Reptile Rodent Pig Other

How long have you been looking to adopt a pet? 1-2 weeks 3-4 weeks 1-2 months 3-4 months 5-6 months More than 6 months More than 1 year

Is an adoption donation of $200-$300, depending on the veterinary and other costs involved in rescuing this animal, acceptable to you? (Please note Shelter Showcase is an all-volunteer organization with no paid employees, so all adoption donations go directly towards saving lives) Yes No

Was there a particular pet online that interests you? If so, which one?

What breeds do you like best?

What breeds don't you like?

What characteristics are you looking for in a pet? Please be as detailed as possible, including activity level, breed types, personality, etc.

Pet Care Considerations

How many hours a day will your pet be alone? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

Where will your pet stay when he/she is alone?

How do you plan on exercising your pet?

How do you plan on training your pet?

Pet History

Do you have pets currently? What type? Ages? Male or female?

Have you had any pets in the past? If so, what happened to them?

Have you ever brought a pet to an animal shelter? If so, please describe circumstances.

Veterinarian's name and phone number:

General Information

Do you rent or own your home? Rent Own

What type of home do you live in? House Apartment Condo Other

Do you have a fenced in yard? Yes No

Please name the people who live in your household, including name, relation to you and ages:

Who is this pet for?

Is anyone in your household have known allergies to pets? Yes No

Do all adults work full-time? Yes No

Is a home visit acceptable to you? Yes No

Please feel free to tell us anything else about yourself that you think might help us match you with the right pet for you:

Enter the security code in the image above:

"Adopt Love, Don't Buy It" ... Thank you for taking the time to complete our
application, and thank you adopting a pet and saving a life! We will contact you
shortly and will try our best to find a great pet for you.