Did you review the Adoption Process yet? If not, please do!
Home Phone Number
Cell Phone Number
Best time to call?
Spouse's Occupation (if applicable)
Are you at least 25 years of age?
If not, please provide your age
Name of animal you are interested in
Gender of animal of interest
Do you own or rent your home?
If you rent, is a pet deposit required?
Does your landlord, homeowner's insurance or city (town, village, county, etc.) ban the type of breed of animal you are interested in adopting?
If you do not know, please find out. This is important, specifically when adopting a dog that is considered a "pit bull", Chow, Shepherd, Doberman, Rottweiler, and many other breeds.
Does anyone smoke INSIDE the home?
Does anyone in the household or who visits regularly have pet allergies?
Are you willing to have one of our representatives visit you in your home prior to adoption?
Are there children living in the home or visit often?
If so, what are their ages?
Do you have currently other pets?
If yes, how many animals do you have?
If you have cats, are they indoor or outdoor?
Will this cat (or other small animal) be indoor only, outdoor only, or indoor/outdoor?
Please list your current animal(s) here with their breed and age:
Please list any previous animals that you have had within the last five years:
Have you ever given up an animal in the past? If yes, then please list the reason(s).
If yes, is it given year round or only seasonally (in warmer months)?
Are you aware that Heartworm disease in dogs is fatal if left untreated?
Are you aware that is costs approximately $20 per month for Heartworm prevention, but it can cost between $450 - $1,000 to treat Heartworm disease?
Adopters: Animals will continue to require Veterinary care, heartworm prevention, checkups and sometimes medicine to keep them healthy. Are you prepared to provide the necessary time and financial resources to care appropriately for your pet?
Where will the animal stay during the day?
Where will the animal stay during the night?
ABOUT THE ANIMAL YOU WOULD LIKE TO ADOPT:
Are you willing and financially able to provide ongoing preventative veterinary care for the pet? This includes, but is not limited to monthly flea/tick and heartworm prevention, as well as annual checkups
Are you willing, and financially able, to provide urgent and/or emergency veterinary care in case your pet gets sick or injured?
Do you agree to contact the rescue in the event that you can no longer keep this pet, and agree not to re-home, give away, or sell this pet, nor surrender this pet to a shelter?
I understand that I will be required to pay an adoption fee and sign a contract for care.
Use this space for any additional comments or criteria that may help us to find the best match for you/your family.
***PLEASE READ*** Thank you for taking the time to complete the application. We need the information provided in this application to help determine the right match for each animal and each family. We are an all volunteer, Non-profit rescue and we have many animals in our care. We are working jobs as well. Please allow us at least 48 hours to respond to your application. If you do not hear from us, you may call 615-330-4769 to check on the status of your application. If we receive several applications on one animal, we may not have the time and resources to respond to every inquiry, but we do our best and we try to update the animals immediately when they are adopted or pending adoption and no longer available. Our adoption process is about finding the best fit for each animal and each family. If we receive multiple applications for one animal, the best application will be selected. Having a fenced yard is not required for all dogs, but will be preferred for most. Only one application is needed, even if you are interested in meeting more than one of our adoptables. We appreciate your time to provide us with the information needed to help us find your new family member!