Please note:
Generally, we can only adopt animals within
a 60 mile radius of Trenton, New Jersey

Date

Are you interested in a cat or dog?

Name/description of the cat/dog you are interested in:


Your name:

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Work Phone:

E-mail address:

Where do you live? Select all that apply:
House Condo Apartment Live w/ parents or relatives At school On a military base

If you are renting or living with relatives, provide the name, address and telephone number of the landlord/relative:

Why do you want to adopt this pet? Select all that apply: Companion Family pet Gift for someone Other

If other, indicate reason:


List the ages of all children in your household:


List all pets you have living in your household (include their type, age and name):


List all pets you have had in the past 5 years that are no longer with you.  Indicate the reason they are no longer with you:


Are/were all of your pets sterilized?
Yes No Some

If no or some, please explain:


What are your feelings on declawing cats? Opposed In favor Need more information No opinion

How many hours per day will this pet be left alone?

What are your feelings on crate training?
Opposed In favor Need more information No opinion
Do you have a fenced yard? (Dog applications only) Yes No

If you are applying for a cat, will it be kept Indoors Outdoors Indoors/Outdoors ?

If no, please explain:


How much do you think you will spend on medical bills
for this pet each year?


Provide the name, address and telephone number of your veterinarian: (Note: We will be contacting this veterinarian to
verify that all of your current/previous pets have been sterilized,
are/were up to date on all vaccinations, and have received
appropriate medical care.)


Are all family/household members enthusiastic about this adoption? Yes No Somewhat

Please note that adoptions are NOT approved on a first come first serve basis.  We make every effort to find the most appropriate home for each animal.