Pre-Adoption Inquiry

Thank you for your interest in one of our adoptable animals. Please submit the information on this form to introduce yourself for consideration to adopt. A complete adoption application will be submitted during your shelter visit to meet the pet.

Animal Name: *

Dog or Cat? *

Name *

Address: *

City: *

State: *

Zip Code: *

Phone *

Email *

Birthday: *

Why do you want to adopt this pet? *

How many adults are living in your home? *

Ages: *

How many children are living in your home? *

Ages: *

What is your housing situation? *

Is your Home: *

Is your household: *

How long have you been living at current address? *

If renting, supply Landlord name:

If renting, supply Landlord phone:

Where will this pet spend most of its time? *

If living with parents, supply their name:

If living with parents, supply their phone:

How many pets do you currently have in your home?

Dogs *

Cats *

Other *

Which Veterinarian do you currently use? *

Phone *

Questions or comments:

Acknowledgement:

Acknowledgement: The undersigned hereby grants AMHS permission to confirm any information provided in this inquiry. I certify that all the information I am submitting is true and complete. I understand that this introductory information does not hold an animal for my adoption and that AMHS reserves the right to deny an adoption at its own discretion.
By checking this box, you authorize this to be a signature approval.

By checking this box, you authorize this to be a signature approval. *

I Agree

I Disagree

Date *

Captcha *

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