Adoption Application

Thank you for your interest in pet adoption. Please fill out this application for the animal you wish to apply for. Please be honest. All pets are different and would thrive best in different environments. We want the best experience for person and pet! After review, a staff member will contact you to discuss concerns, suggest a more appropriate match, or set up an appointment. Applications will be reviewed first received, first considered. Appointments will be scheduled on first available, first served. Animals may have multiple appointments for meeting, subject to be canceled if adopted during a previous appointment. Please watch your phone and email for correspondence.

Adopter Name *

First

Last

I'm interested in adopting... *

Please list name or ID Number of the animal/s that you are interested in.

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Address where pet will be living.

This home is... *

If renting - My rental is....

If renting, please elaborate.

Name of Landlord *

If not renting, put NA

Landlord Phone

If renting, please put landlord phone number.

Primary Phone # *

Secondary Phone #

Email *

Driver License / State ID # *

This is used to assign a personal ID number in our computer program to help ensure accuracy.

Name of Emergency Contact (for microchip purposes) *

First

Last

Emergency Contact Phone Number *

Let us know about your home and family!

This pet would primarily be *

When alone, this pet would be *

Approximately, how many hours would this pet be alone on a normal day?

Selected Value: 0

When outside, this pet will be

10 being very active, how active is your household?

Selected Value: 0

Please list those that live in the home and that the pet would frequently come in contact with.

What is your pet ownership experience?

Which best describes your veterinarian relationship?

Please list your current pets' names, breeds, and ages.

How do you think your current pets will react to the new pet? *

I am adopting this pet.. *

Why are you wanting this pet?

How active would you like your new pet to be?

Selected Value: 0

1 being not active at all, 10 being very active

How previously trained would you like your new pet?

Selected Value: 0

1 being has no training and is willing to train, 10 being wants to do little to no training.

How social would you like your new pet to be?

Selected Value: 0

1 being very independent, 10 being loves and greets everyone he/she meets and wants to be close to them constantly.

Please tell us anything else you would like us to know about you and your family that might be helpful in matching the perfect pet.

Please tell us about any concerns you may have about pet adoption, this particular pet, training, etc. We are here to help.

New Albany Animal Shelter

Let us know about your home and family!

Thank you for your submission! We will be in contact soon. Adoptions are first come first served so please be on the look out for our call back!