First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

Which animal are you interested in
Choose an animal: Americano Annette Barron Belki Pup Benson Bingo Hospice Biscuits Bonnaroo Bravo Brewsky Caddo Chazz Foster Needed Checkers Pup Chunk Foster Needed Crystal Domino Pup Dr. Pepper Duce Emily Ghirardelli Gilly Puppy Griggs Hammond Hardy Hathoway Pup Ilana Pup Jade Puppy Jamos Jasmine Juliet Puppy Juniper -Pup Knoxville Mags Max Foster Needed Maxine Mellie Pup Misty Puppy Mystic Obie Patches Quillon Quincey Raphael Puppy Remmy -Senior Roku Rosie Scrabble Pup Scroggins Shawna Pup Sosa Stryker -special needs Terra Puppy Trace Pup Trig Pup Trina Vinnie Zuna

What are the best times to reach you by phone? And what is your preferred method of contact? Email, phone or text?*

Full name and age (including yourself) of anyone who resides in your home. Please include birth month and year for all adults (only ages of minor children). *

How many hours are you away from the home on a typical day?*

How much time will the animal spend alone during the day

Will the animal be kept inside or outside
Choose one: Inside Only Outside Only Inside and Outside

Where will the animal be kept when you are home

Where will the animal be kept when he/she is home alone?*

Where will the animal sleep

Where will this pet eat?

What traits are you looking for in a pet

For cats only: Are you planning to declaw?
Choose one: Yes No

What is your veterinarian clinic name and phone number with the most current records?*

Have you applied with any other rescue
Choose one: Yes No

Have you ever given up a pet? If yes, please explain

Dwelling type?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have an animal
Choose one: Yes No

If you rent or live in an association, please enter the homeowner/landlord/association name and phone number:*

Do you live where there is an Association?
Choose one: Yes No

If you have an association, what are their requirements regarding pets?

Are you aware of your city's pet ordinances?(please explain)

Length of time in current residence?*

Any future moving plans?

Does anyone in your house have allergies? (explain)

How many people reside in your home.

Please list all other pets in the home: Specify Breed, Name and Age*

Are your pets current on vaccines?*

Is your pet spayed/neutered?

Why are you interested in adopting a pet at this time

Please describe your typical day:

Please list any previous pets:

Where are these pets now?

What do you enjoy most about a cat?

What do you least enjoy about having a cat?

What draws you to this particular cat?

What issues do you believe you are not able to deal with and would cause you to return a pet?*

Are you prepared for an adjustment period?*

List at least one reference who is not a family member (name and phone number please):*

How did you hear about us

Anything else you think we should know?

I certify that the information entered on this application is true. I acknowledge that dogs & cats are animals and will behave differently than people in their responses to human actions and changes in environment and that the behavior of an animal can be unpredictable. By submitting this application, you agree to release MARS from any liability regarding accidents, damage or behavior the pet may display. MARS relies on information provided by shelter staff, veterinary reports, previous owners, foster homes, trainers, etc. We can only share that information with you and cannot predict what behavior the animal might display. MARS does it's best educated guess as to the breed(s) but it is just that, a guess. MARS makes no breed guarantee. Enter your name and date:*