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2. 

4. Thank you for your interest in giving one of our shelter pets a forever home! Please provide the requested information so that we may assist you in finding a new best friend.

   
   

   Please note that this questionnaire does not "hold" adoptable pets. Interested adopters are required to come to the shelter to meet any adoptable animals and discuss their application. 

6. Date*
   Date
7. First Name*
8. Last Name*
10. Address*
12. City*
13. State*
14. Zip Code*
16. Home Phone*
17. Cell
18. Work Phone
20. Email Address*
21. Drivers License/ ID #*
23. Date of Birth*
25. What are you looking for in your new adopted pet? (Check all that apply)*

    1. Active
    2. Couch potato
    3. Good with dogs
    4. Good with kids

    1. Good with cats
    2. Playful
    3. Single-pet / Loner
    4. Adventurous

    1. Jogging buddy
    2. Likes water
    3. Mellow
    4. Lap loving

    1. Social butterfly
    2. Shy pet needing a friend
    3. Other
27. If checked other, please explain:
29. Have you owned this type of pet before?

    1. Yes
    2. No
30. Are you getting this animal as a gift for anyone?

    1. Yes
    2. No
32. Type of residence:

    1. House

    1. Apartment

    1. Condo

    1. Other
34. Do you rent or own your home?
35. Do you have a yard?
37. Landlord name and number:
39. Please list any breed restrictions, weight restrictions, fees, or deposits your residence requires:
41. How many people live with you?
43. Adults:
    -- Select One --1234+
44. Children
    -- Select One --1234+
46. Age(s) of children in the home:
48. How many pets currently live with you?
50. Dogs:
    -- Select One --1234+
51. Cats:
    -- Select One --1234+
52. Other:
    -- Select One --1234+
54. If you move, what plans do you have for your pet?
56. Veterinarian name and number:
58. If you don't have a veterinarian, do you need help finding one?

    1. Yes

    1. No
60. Where will this pet live primarily?

    1. Indoors

    1. Outdoors

    1. Indoor/Outdoor
62. Describe how you will handle any behavioral problems that you may encounter with your new pet:
64. What reasons would cause you to rehome or return your new pet to the shelter? (Check all that apply)

    1. Chewing/ Destructive
    2. Not housetrained
    3. Medical issues

    1. Not getting along with other pets
    2. Not good with children
    3. Escaping the yard

    1. Moving
    2. Animal gets too big
    3. Having a baby

    1. Landlord issues
    2. Allergic to animal
    3. Other
66. If checked other, please explain:
68. I am interested in learning more about: (Check all that apply)

    1. Crate training
    2. House training
    3. Litterbox training

    1. Finding a vet
    2. Heartworms
    3. Obedience training

    1. Pet insurance
    2. Caring for my new pet

70. I certify that the information I have provided is true. I also certify that I am at least 18 years of age as I submit this questionnaire and that I have never been convicted of animal cruelty. I am aware that this application does not guarantee and adoption and that the San Marcos Regional Animal Shelter reserves the right to approve or decline an adoption based on needs/lifestyle of the applicant and the needs/lifestyle of the pet I am interested in. 

72. Applicant's Electronic Signature
Leave This Blank:


74. 1. Receive an email copy of this form.
75. Email address

    This field is not part of the form submission.

76. Submit

* indicates a required field