Please note that by filling out this application you are agreeing to our the terms of our application agreement. Please be sure you have read and understand the terms.
When you feel that you are ready to be considered for one of our precious pets, please copy and paste the below application into a new email and send it to Kristy at iammom2poodles@yahoo.com. Please use the subject, Adoption Application and the name of the pet you are applying for.
Full Name:
Address:
Phone:
Email:
Birthday:
Animal Applying for:
Reason for adopting a rescued animal:
Other animals in the home:
Children and ages:
Type of home:
Do you have a fenced in yard?
Previous animals owned and reason for giving them up?
Have you ever turned an animal into a shelter?
Reason?
Would you be willing to have a home visit conducted?
Where would the animal be during the day if owners work?
Where would the animal spend the night?
How long would the animal be left alone for any reason?
How would you like to handle transportation?
What arrangements would be made for the dog in the event that you could no longer care for them?
References (please include name, phone, and email address if known)
Vet Reference:
Groomer Reference:
Neighbor Reference:
Friend/Relative Reference:
Please provide your electronic signature and date below.
(Please note that by providing us with this signature, you are giving permission for your references above to discuss the care you provide for your animals.)