ADOPTION APPLICATION.


Please email it to: lizwizanimalpalace@yahoo.com. For the multiple choice-just underline your selection, or put it in bold:) Please remember to be honest, and if none of the multiple choice matched your answer, just type in your own answer.
Fill out the entire application. Thank you 
-Britt- 


Pets name(s) and breed(s) you are most interested in:

Name, state,and town:

Phone number to reach you at:

What is your reason for adopting a pet? 

A) Companion for another Pet 
B) Family Pet 
C) Child’s Companion 
D) Adult’s Companion 
Do you rent or own? 
If you rent, please list landlord’s information and phone number 


How many hours a day is someone home? 

Where will the pet stay when the family is gone? 

A) Loose in home 
B) Outside 
C) Crated inside home 
D) Confined to an area of the house 

Please briefly describe your home: 


Is the yard fenced? If so, what type of fencing? 

Please list the ages of children that reside in your home. 

PET HISTORY: 

Please list any other pets you have owned within the last 5 years. 

Type and Names: 

Age, when no longer owned. 

General Health 

If no longer owned, what happened? 

Were/Are these pets spay or neutered? 

How much money would you plan to spend yearly on your pet? 

A) $100.00 to $200.00 
B) $200.00 to 300.00 
C) $300.00 to $500.00 
D) Over $500.00 

What would be a reason for giving up your pet? 


If you had to give up your pet would you? 

A) Take it to the nearest shelter 
B) Give it to a friend or relative 
C) Return it to the group/person you adopted from 

What type of pet are you interested in? 

A) Active and playful 
B) Watch dog (would bark to alert) 
C) Couch potato and quiet 
D) Guard Dog (would bite if provoked) 

Please list your vet’s name and phone number. If you currently do not have one, please provide us with your previous veterinarian's information. Please also list who's name the records will be in at their office. 

How long have you used him/her? 

List at least 2 personal references and their phone numbers. 



Thanks so much for your time and interest. It is not our intention to invade your privacy. It is our goal to place our pets in the situation that suits them best and to find you a pet that will work with your family, in your environment. Failure to fully complete application may result in denial.