I found an animal on your list that I am interested in learning more about, and possibly adopting. Please give name and brief description of animal here:

Who Are You?

*Name

*Town, State

*Phone

E-mail

When is the best time to reach you?

*Required information

I am looking for a pet for:
Myself
My child
A friend of mine
Other

Home Life (check all that apply)
I have young children under 6 years of age.
I have children, ages 7-12 years.
I have dogs.
I have cats.
I have livestock.
I have poultry.

Does anyone in your household have pet-related allergies? If yes, please state what types of pets.

Is there usually someone home during the day? If not, how many hours, on average, will your pet be alone?

Do you own or rent your home?

If you are renting, do you have permission from your landlord to have the type of pet you are looking for?

Do you have a fenced yard?Yes
No

If yes, what type of fence is it, and how tall is it?

Yard size is:
Small
Medium
Large
Acreage

If looking to adopt a horse, please state type of fencing and size of fenced area you have.

If the animal you are looking to adopt is a cat, dog, bird, reptile or small animal, will this pet be an indoor animal?
Yes, strictly indoor.
Indoor/outdoor.
No, strictly outdoor.

Will you be able to travel, if needed, to adopt this pet?
Yes
Maybe, depending on distance.
No

What Type of Pet Are You Looking For?

Dog
Specify certain breed (state if it can be a mix), sex, age and size here:

Cat
Specify certain breed (state if it can be a mix), sex, age and size here:

Horse
Specify certain breed (state if it can be a mix), sex, age and size here:

Ferret
Specify sex, age, color, etc. here:

Rabbit
Specify certain breed (state if it can be a mix), sex, age and size here:

Bird
Specify certain breed, sex (if it can be determined), age and size here:

Other small animal (including hedgehogs, hamsters, etc.)
Specify certain animal, sex, age and size here:

Do you have a regular veterinarian?
Yes
No

Please rate these characteristics according to importance:

Requires little to no grooming:
Important
Not Important

Requires little to no training (including housebreaking):
Important
Not Important

Has few to no bad habits:
Important
Not Important

Does not require excessive amounts of exercise:
Important
Not Important

If the pet you are looking for is a dog, which of the following characteristics are you looking for?
Companion
Watchdog
Hunter
Stockdog
Other:

Tell us why you want a pet and any specific characteristics you are looking for (these can be personality or physical traits, especially for dogs - ex. likes to swim, plays ball, golden color, long tail, etc.) Any comments that will help us match you with a pet are welcomed.

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