Adoption Application

Interested in Meeting an Animal?

Please fill out the form below if you are interested in meeting one of our animals:

In order to adopt an animal from Recycled Love, you must:

• Be at least 18 years of age;
• Have identification showing your present address;
• Have the consent of your landlord;
• Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for your pet.

* Required Fields

Pet Name *

Title * -- Please select -- MR MISS MRS MS DR Other

First Name *

Last Name *

Email Address *

Date of Birth *

Home Address *

City *

State *

Zipcode/Postcode *

Home/Cell Phone Number *

Work Phone Number

Current home ownership status * -- Please select -- Own Rent

How many adults live in your home? *

How many children live in your home? *

What are the ages of your children?

Is anyone home during the day? * -- Please select -- Yes No Sometimes

Is this your first experience owning a pet? * -- Please select -- Yes No

Do you currently have pets? * -- Please select -- Yes No

Are your pets currently up-to-date on their vaccinations? * -- Please select -- Yes No N/A

List your current pets (including name, breeds, sex, age, health)

If you have had pets in the past which are no longer with you, please explain what happened to them

Why do you want a new pet? *

Why are you interested in this particular animal? *

How will your lifestyle change with the addition of a new pet? *

Where will this pet be kept? *

If interested in a dog, how will you exercise it?

Does your residence have a fenced yard? -- Please select -- Yes No

If you don't have a yard, how will you contain the dog?

How will you introduce the animal to existing pets?

How will you deal with health or behavioral issues? *

How long do you expect to have this pet? *

If you previously had a dog, what training method(s) did you use?

Do you plan to crate train your dog? -- Please select -- Yes No N/A

Please provide a veterinary reference (name, office, phone, address) *

Please provide a personal reference (name, address, phone) *