Thank you for considering adopting a dog or puppy from Adopt A Stray. The following information is requested, so we can assist in making the best choice for your family and for the dog you are considering adopting. Our goal is to place dogs in loving homes with people who will make a lifelong commitment to them and accept them as a member of their family. 

The adoption fee (to help defer our expenses) is $150.00 (CASH only).  This includes spay/neuter,  heartworm testing, vaccinations, rabies (age permitting), de-worm and de-flea.

If your application is under consideration you will hear from an Adopt A Stray representative within 48 hours.  If you do not hear from an Adopt A Stray representative within 48 hours your application was not approved.   Adopt A Stray reserves the right to keep confidential and not disclose the reason the application was not approved.  We appreciate you understanding our policy.
 

You must be 21 years old to apply.

* Denotes Required Fields

Name of the dog you are interested in adopting: 

*Last Name:      *First Name: 

Address:   Apt Number

City:     State:   ZipCode:

*Email Address: 

Drivers License Number (last six digits)   (complete number required at time of adoption)

*Home Phone or best number to contact you:     Cell Phone:

Employer:     Years worked there:  
Work Number:

Name of nearest relative or friend not living with you:
Phone number of nearest relative or friend not living with you:

1. How did you hear of Adopt A Stray? 
2. Do you live in a:   Condo     Townhome    Apartment    Mobile Home    House   Duplex     Boat
3.  How long have you lived at this address?
4. Do you   Rent     Own     Other
5. If you rent is your lease  Yearly     Month to Month     Weekly
   Name and number of Landlord/Owner:
   Landlord Approval:  Yes     No     Not Sure        
   Landlord Restrictions:  
6.  Name of Complex/Association 
   Restrictions:  
7. How many adults reside in the house?
8. Are there children in you home?  Yes     No    If yes, what are their ages
9. What type of pet(s) are you looking for?  Cat     Kitten     Dog      Puppy
10.  Have you ever turned an animal into an animal shelter before?  Yes     No
    If yes, reason?
11. Does it matter if the pet is housebroken?  Yes     No
12. Would there be anyone there during the day?  Yes     No 
    If yes, who
13. Has anyone is the household ever had an allergy to animal hair?  Yes     No
14. How many pets have you had in the last 5 years? 
    If you no longer have pets, what is the reason?
    What brand of food did you feed the pet(s) you previously owned?
15. How many dogs are currently in your home?    
    Breed(s)/Sex
    Age(s):   Pet(s) Name:  
    Are they spayed or neutered  Yes  No        If no, reason:
    Are they  indoors    outdoors   both
    Are they up-to-date on all their vaccines?  Yes     No     Unsure?
    What brand of food are you presently feeding? 
16. How many cats are currently in your home? 
    Breed/Sex: 
    Are they spayed/neutered?  Yes      No
    Are they up-to-date on all their vaccines? Yes     No     Unsure
    Have they been feline leukemia tested?  Yes     No    Unsure
    If yes, year?
    Have they been feline AIDS tested ?  Yes     No    Unsure
    If yes, year? 
    Are they declawed?   Yes      No       Reason?
    Does your cat(s) live   indoors     outdoors        both
    What brand of food are you presently feeding?  
17. Would your new dog be living  indoors    outdoors     both
18.  Where will your new dog sleep?   
    be when you are not home? 
    be when you are home?
19. Is the yard fenced?  Yes     No    Partial       Explain:
    What type of fence?    Chain      Wood        Cement
    How high is the fence in feet? 
20. Have you had to deal with Florida's flea problem?  Yes     No
    What do you plan to do to control fleas and ticks 
21. What is your veterinarian's name?        Phone # 
    Clinic Name
22. Why do you want to adopt a pet? 
23. I, , agree that all information is correct as submitted 

 ADDITIONAL COMMENTS: 

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