To be considered as an adopter, you must:

• Be 21 years of age or older.
• Have identification showing your present address.
• Have the knowledge and consent of your landlord.
• Be able and willing to spend the time & money necessary to provide medical treatment and proper care of your cat/dog.
• For Dogs - enroll your dog in a basic obedience class (required for dogs under 1 year old).

Animal’s Information:

Animal’s Name:

Where did you hear about this animal? AFRP Adoption Location AFRP Website Petfinder.org Coast Weekly Ad Herald Ad Centeral Coast Shopper Adoption Day Other If other:

Adopter’s Information:

First Name:
Last Name:
Address: City: State: Zip:
Home Phone: Work Phone:
Email Address:
How long at this address? < 6mo 6mo - 1yr 1yr - 2yrs 3yrs - 5yrs 6+ yrs
House Apartment Condo Other
If renting, does your housing lease allow pets? Yes   No
Name and phone number of lessor:

How many adults at this address? How many children? Childrens Ages:
Description, breed and age of all animals that reside with you now
Do your animals have current vaccinations? Yes   No

Please answer the following questions for the type of animal you are adopting:
Have you ever had a Cat / Dog / Other
If yes, when was the last time and for how long?
If you no longer have the dog/cat/other, what happened to them?

Are you getting this dog/cat/other as a gift for someone? Yes No
If yes, for who?
If you have children, have they ever had a dog/cat/other in the household before? Yes No
Where will the dog/cat/other live and sleep?
Will the dog/cat/other be strictly Indoors? Outdoors? Both?
Describe circumstances when and how long the dog/cat/other would be outdoors:
Who will be the primary caretaker of the dog/cat/other?
Who will care for the dog/cat/other when you are away from home?
If your dog/cat/other gets sick, can you afford vet bills? Yes   No
Have you ever taken one of your pets to a shelter? Yes   No  
If yes, why?

How many hours per day would the dog be left alone?
Do you have a securely fenced yard? Yes No
If yes, how high?

What particularly interested you in this animal, or would you like to provide any other comments?