Pet Lovers Looking For Pets to Adopt Hoping to Adopt a Pet If you are looking to add a pet to your family, we can let you know as soon as a suitable pet comes available for rehoming. Please fill out the following form providing as much information as possible to help us match you to the right pet. We'll notify you immediately - before a suitable pet is advertised for rehoming - so that you can be among the first to offer a pet a home. Please tell us what type of pet you are looking for. Type of Pet:* Cat Dog Other Sex of Pet:* Male Female No Preference Size of Pet (if dog) Small 7 to 22 pounds Medium 22 to 45 pounds Large 45 to 75 pounds Giant 75 pounds or more No Preference Sex of Pet:* Male Female No Preference Age of Pet:* Young - Puppy/Kitten Adult 1 to 6 years Older Adult - 6 years and up Senior - 10 years and older No Preference Additional Details On Type of Pet You are Looking For:Your Contact Information: This information will remain confidential. It will be used only for the purposes of matching you to a pet near you, and for our staff to be able to get in touch with you.Name First Last Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Enter Email Confirm Email PhoneCellBest time of day to contact you: : HH MM AM PM Please tell us about your home and family, and why you would be a good choice to adopt a pet.Please tell us if you have any children, how many, and their ages:Please give us some information about your history where pets are concerned. Do you have pets now, or have you owned a pet previously? If yes, what became of the pet?Do you: Own a home? Rent a home? If you are renting, does your landlord allow pets? Yes No Do you have a securely fenced yard? Yes No Are all members of your family in agreement about your decision to adopt this pet? Yes No Does anyone in the home have pet allergies? Yes No Have you ever surrendered a pet to a shelter or rescue, or given away a pet? Yes No If yes, please explain the circumstances. Why was the pet surrendered?How much time will you be able to spend with a pet each day? Will the pet be left alone for long periods of time?A pet's current family may want to keep in touch and possibly visit on occasion. Are you OK with this? Yes No Unsure Do you have the financial ability to pay for a pet's food and vet care needs? (About $600 per year)Our pet rehoming staff will contact you periodically to ensure a pet's well-being. Are you OK with this? Yes No Unsure Additional CommentsPlease provide 2 references that we can call. These should be people who know you well and can verify that you are responsible, knowledgeable and able to provide a loving, forever home for this pet. A veterinarian or pet sitter is an excellent choice for a reference.First Reference Name First Last First Reference PhoneWhat is your relationship to this reference? (How do they know you?)Second Reference Name First Last Second Reference PhoneWhat is your relationship to this reference? (How do they know you?)Signature*By signing below, you certify that the information provided is true and complete to the best of your knowledge. You hereby request to be notified when a suitable pet comes available.