Adoption Form (2023)

Adoption Form

If you are interested in adopting an animal, you must:
• Be at least 21 years of age.
• Have a picture ID showing your current address.
• Be sure your landlord is aware and agrees with your decision.
• Have the knowledge and consent of all individuals in your household.
• Understand that we have the right to verify any information on this application, which will include landlord and veterinarian checks and may include a property inspection.

* Indicates required field

Name *

First

Last

Date *

Name and description of animal interested in *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Applicant's Age *

Driver's License Number *

Phone Number *

Email *

Employer Name, Address, Phone *

Name, Age, and Relationship of others living in the same household as you *

Select 1 of the following *

I rent I own my home I live with my parents

Is there a fee from your landlord if you own a pet? *

Yes No N/A

Does your landlord allow pets? *

Yes No N/A

IF YOU RENT: Please provide landlord's name and contact information. If not applicable, please put N/A. *

Have you ever owned a cat before? If so, please describe your experience with your cat(s). Include how long you have had cats and their ages. If you have never owned a cat, please put that. *

Have you ever owned a pet before? If so, please explain your experiences with owning them. Include ages of pet(s) and length of time owning them. *

Are all of your pets fixed? *

Yes No

Are your pets currently living with you up to date on vaccines? Are they altered? (Spay/neuter). Please provide this information for all pets. *

Are all of your pet's vaccines up to date? *

Yes No

Please Provide your Veterinary contact information. Include name, phone, and address, How long have you been going to your veterinary practice? *

Does you current pet(s) get along with other animals? *

Yes No

If you selected NO, explain why? *

Did you ever move while owning a pet? What happened to that pet? *

Are you planning on moving in the future? If so, what will happen to this pet? *

A cat can live for 10-20 years. Are you able to commit to taking care of this cat for its entire life? *

Yes No

Who is the cat for and who will care for it? *

Are you prepared to assume the financial responsibilities of providing your cat with adequate food, medical care, housing, toys, litter, etc…? ( $500 + a year) *

Yes No

It can take a cat up to a month or more to adjust to a new home environment. Are you willing to allow them a reasonable amount of time to acclimate? *

Yes No

Within 1 week of pet being altered (spay/neuter), you will be responsible for full care of this animal. You must complete the adoption process within 1 week of this alteration. *

Yes No

Please Provide 2 character references that are not related to you and that do not live in the same house hold as you. Please include their name, relation to you, and contact information. *

Character Reference 2 *

Vaccine Information

All of your current pets living in your home must be up to date on vaccines. Along with this application, you are responsible for providing up to date vaccine vet records to Furever Home Adoption Center to show proof of vaccine and vet records.

It is our goal to do the best job possible in matching an adopter with a suitable pet. After processing your application, we may suggest further counseling about the pet that you have chosen, or we may suggest an alternative pet due to concerns with safety of either your family members, or the pets in your household. In cases of extreme concern, the application may be denied. Please understand that these decisions are made for the good of everyone concerned, including the animals.

Mission Statement of Furever Home Adoption Center Inc.

By electronically signing this form, you agree: 1) that all information in this application is true; 2) that false information may void this and future applications; 3) to allow Furever Home Adoption Center, Inc. to verify the information provided. Please sign below. *

Submit Application

Adoption Form

Vaccine Information

Mission Statement of Furever Home Adoption Center Inc.

Furever Home Adoption Center
5984 Main Street, East Petersburg, PA 17520

Donate Here

Contact Us

717-560-6400

​Adoption Form

​Vaccine Information

​Mission Statement of Furever Home Adoption Center Inc.

Furever Home Adoption Center​5984 Main Street, East Petersburg, PA 17520

Donate Here

Contact Us

717-560-6400

Adoption Form

Vaccine Information

Mission Statement of Furever Home Adoption Center Inc.

Furever Home Adoption Center
5984 Main Street, East Petersburg, PA 17520