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Small Animal Adoption Application

At this time, we are operating on an appointment-only basis. Please fill out an adoption application (below) and we will be in touch shortly to set up a time for you to meet the animal of your choosing after you have been approved. Thank you!

The Homeward Animal Shelter strives to place the animals entrusted to our care in permanent, loving homes. The purpose of this application is to aid us in that process and to get acquainted with prospective adopters. We want to help you in your choice of a rabbit that will be well suited to your family, home, and lifestyle. Your decision is important since this is a lifetime commitment.

Rabbit adoption fee: $50 (this include rabbit being spayed/neutered and microchipped)


Your Information
Preferred method for us to reach you?
Are you at least 18 years of age or older?
Small Animal Information

Please list the name of the small animal(s) you're interested in adopting. If you're not interested in a particular pet, please just type "pre-approval" in the first choice box.

How soon are you looking to adopt?
Have you owned the type of small animal you're interested in, before?
Who are you adopting this pet for?
Have you ever adopted a pet from this or any other shelter/rescue?
If yes, please indicate whether you still have this pet. If you no longer have this pet, please explain why.
Please indicate the type of home you live in:

If you rent, Landlords/Rental Agencies will be contacted to verify permission to own pets. This includes mobile home parks, in which you rent the lot. Please provide the following: 

Name of Apartment Complex or Mobile Home Park
Landlord's or Rental Agency's Name
Landlord's or Rental Ageny's Phone Number
Do you know what your pet restrictions are in your rental unit, such as: if cats must be declawed, if there is pet limit, if cats must be at least 1 year old, etc.? If yes, please list them.

If you live with your parent(s), please list their contact information so that we may verify they are ok with you bringing home a pet:

Please List Your Parent's Name(s):
Parent's Phone Number
What Are You Looking For?
What are you looking for?
Preferred Sex of Pet
Any small animal that I adopt must be good with (mark all that apply);
Are there any pet allergies in the home that need to be considered?
If there are pet allergies in the home, please describe what you are allergic to and whether or not they are already controlled with medications.
Current Household

How many adults (over 18 years of age) live in your household?

Are there children under 18 years of age that live in your home?
If there are children in home, please list ages:
Are there any other pets in the household?
Pets Currently Living In Your Home: Please list age, sex, breed, and whether or not they are spayed/neutered.
Name of Veterinary Clinic used for your pets
Veterinary Clinic Phone Number
Name of Owner on Pets' Records at Vet
On an average day, how long will the pet be left alone?
How would you describe the energy level of your home?
Do you have children that visit (but don't reside in) your home?
Are there pets that visit your home (ex: relative's pets, you petsit, etc.)
Have you ever given a pet away or surrendered a pet to a shelter/rescue organization?
If you've had to rehome a pet, please explain the circumstances.
How do you plan to handle any behavior issues that may arise, such as litter box issues, conflicts between pets in the home, scratching furniture, chewing on cords, etc?
Are there any circumstances, now or in the future, that may lead you to need to return/rehome your pet (ex: moving, lack of time, pet develops a medical issue, pet develops a behavioral issue, new baby in household, etc.)
Anything else that you feel we should know about you, your household, your current pets, or anything else that you feel we should know in order to ensure we find you the best match for your household?

Adoption Discounts
Please mark if any apply to you. We offer discounted adoption fees for senior citizens (ages 65 and over), as well as active military members and veterans. We may ask for proof of age/service.

Since many animals come from unknown backgrounds, Homeward Animal Shelter cannot be responsible for the health or behavioral problems and cannot guarantee personality or temperament. Therefore, I am prepared to provide any necessary medical care including regular vet care and annual vaccinations as well as any humane behavioral training required.

By typing my name below, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a pet. I authorize investigation of all statements on this application. I also understand that Homeward Animal Shelter reserves the right to deny my adoption application for any reason if they feel it is not in the best interest of the animal(s).

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