Adoption Application | Edgewater Animal Shelter

Contact Information-Photo ID is Required

What is the name of the pet you are interested in adopting?

What type of pet are you interested in?(Required)

Cat

Dog

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Date(Required)

Phone(Required)

Are you over the age of 21, living independently and self-supporting? If no, please explain how you would care for a pet:

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Occupation(Required)

Place of Employment(Required)

Date of Birth(Required)

Driver's License Number (copy required to adopt)(Required)

Upload Driver's Licence Copy Here or Bring with You to Shelter

Max. file size: 256 MB.

Have You Ever been Arrested?(Required)

Yes

If yes, what state(s)?

If yes, please explain below

Household

Do you rent or own your home?(Required)

Do You Live in a:(Required)

If you have indicated you own your home, will the home ownership be under your name? If not, why?

How long have you lived there?

Does you home have any size or breed restrictions?(Required)

Yes

Does Your Landlord Allow Pets?

Yes

Do you have a fenced yard?(Required)

Yes

Please Provide Landlord or Homeowners Association Name and Contact Number

How Many People Live in Your Household(Required)

Ages of Children under 18

Please List the Names of All Adults That Live in the Home.(Required)

Are There Any Children Who Visit Regularly(partial custody, grandchildren, etc.)?(Required)

Have You Ever Adopted a Pet Before?(Required)

If yes, Where?

How Many Hours a Day Will Your Pet Be Home Alone?(Required)

Where Will You Pet Stay When You Are Not at Home?(Required)

Outside (Fenced Yard)

Outside Chained

Inside Confined

Inside Loose

Crate

List Pets You Currently Have and their Age?(Required)

Current Veterinarian Name & Contact Info

List Two Personal References with Contact Information(Required)

Is There Anything Else You Would Like Us to Know?

Required Disclosures(Required)

By Clicking Submit you are stating that all of the information given in this application is true and accurate to the best of your knowledge

IMPORTANT THINGS TO READ AND UNDERSTAND BEFORE SUBMITTING YOUR APPLICATION The Edgewater Animal Shelter reserves the right to refuse any adoption in which it determines it is not in the best interest of the pet. By submitting this form you are indicating that you have read and understood the information on this application, all of the information submitted is true, and understand that any false information could result in forfeiture of the animal. The Edgewater Animal Shelter reserves the right to perform home checks and follow up visits on the adopted pet(s) at any time, with or without warning to you, the owner. The Edgewater Animal Shelter reserves the right to repossess the pet if there is any evidence it is not well cared for or is living in dangerous circumstances. The Edgewater Animal Shelter reserves the right to conduct a background check on all adopters and people living in the home. All information is kept confidential and is used only to determine the eligibility to adopt. An adopter may not adopt an animal to give as a “gift” or otherwise give away. All adopters must fill out an adoption application and sign an adoption contract. Please understand if you adopt a pet from the Edgewater Animal Shelter you accept the pet “as is” and you assume all risks of ownership, including all financial obligations. Should you no longer be able to care for your adopted pet, Edgewater Animal Shelter requires you to return the pet to us.