Current Page 1 Complete Adopter's First Name Adopters Last Name Adopter's Email Primary phone Street Address City State - Select -Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code If you rent: Landlord's Name Landlord Phone Landlord's Email Which animal interests you? - Select -DogCatBoth Animal's Name Do children under the age of 10 live in the home? - Select -YesNo Please describe the current pets in your home. Please include information such as species, breed, size, age, M/F, spayed-neutered-unaltered Where will the the pet stay when you are not at home? - Select -Loose in housePet Door for inside/outsideLoose in YardCrateOther Describe your home's activity level: - Select -Busy, active, noisyModerate coming and goingQuiet and calm Will you need your pet to be friendly with: Visitors Children Dogs Cats Are there any negative behaviors that would cause major issues for you or members of your household? Barking/Meowing Nipping Destructive Behavior Not House-trained (incontinence) People Aggression Animal Aggression Requires Too Much Training Requires Too Much Exercise Expensive Medical Needs Clawing Furniture Spraying Other Issue After adoption, do you plan to declaw, crop ears, or dock the tail on this animal? - Select -YesNo For Dogs: Do you have a fenced yard? - Select -YesNo Are you over 18 years of age? - Select -YesNo CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
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