AHAS Almost Home Animal Sanctuary

Adoption Application

We apologize for the length of the following form, however you should regard every field in this form as 100% required
information. The below information is needed in order for our organization to match the right home with the right cat or
dog from our rescue program.  We love each animal that passes through our doors and want to ensure a happy
home and happy pet.  We appreciate your help in making sure that each animal is in fact almost home. 

This Is An Application For? Dog Cat Other
Name Of Animal:


Personal Information

Name: Street:
City: State:
Zip: Home Phone :
Cell Phone : Work Phone :
Email: Employer:


Household Information

Are There Other Adults In The Home? Yes No
Names Of Other Adults In The Home:
Are There Children In The Home? Yes No
If YES To Children, Are The Under The Age Of 12? Yes No
Names And Ages Of Children In The Home?


Housing Information
Do You Own Or Rent House? Own Rent Other
If Other Please Explain:
If Rental, Landlords Name: Phone:
Are Pets Permitted? Yes No
What Type Of Dwelling? Detached House Multi-Unit Dwelling Apartment
  Mobile Home Other


Pet Information
Do You Currently Have Any Other Pets? Yes No
If Yes, Are They ALL Spayed/Neutered? Yes No
Please List And Describe Your Pets.
Be Sure To Include The Following Info: Name, Type, Age, Sex:
Have Your Pet(s) Been Around Other Cats/Dogs Before? Yes No
How Do They React?
How Many Hours A Day Is Someone Home?
Have You Ever Owned A Dog And/Or Cat?
No Yes - As Child Yes - As Adult
If You Answered Yes, What Kind Of Dog And/Or Cat?

Please Describe When You Had Those Dogs/Cats And, If You No
Longer Have Them, What Happened To It/Them?

Have You Ever Sold, Given Away Or Surrendered A Cat Or Dog? Yes No

If Yes, When And Why?



Adopted Pet Information
Please Explain How Familiar You Are With This Breed:
Please Explain Why You Would Like This Particular Pet:
Will The Animal Live Inside Or Outside? Inside Outside
* Please note that animals designated as living primarily outside will require approval from Almost Home Animal Sanctuary. *
If You Have A Yard, Is It Fenced? Yes No N/A
* Please describe the approximate size of your yard and the fencing (if applicable) :
* A fenced yard is recommended unless approved by Almost Home Animal Sanctuary *
How do you plan to exercise your dog? How often?
Where Will The Animal Stay If No One Is Home?
If Outside Please Describe What Type Of Shelter It Will Have:
How Many Hours A Day Will The Animal Be Alone?
How Many Hours During The Evening Will The Animal Be Alone?
How Often And How Long Will You Leave The Animal For Vacation And Trips?
Who Will Take Care Of The Animal While You Are Away?
For Cats, Are You Planning To Declaw? Yes No
Do You Allow Pets On Furniture? Yes No
Where Will The Pet Sleep?
How much time do you expect it will take for your newly adopted pet to adapt to your home?
Are You Willing To Give The Pet Time To Adapt? Yes No
* Please Note It Can Take Some Animals Over 30 Days To Adjust *
Will you take the pet to obedience class?  Yes No
Are you willing to work at housebreaking the pet?  Yes No
What behavioral issues will you not tolerate?
Under what circumstance(s) would you return a pet? 


Veterinarian Information

Vets Name?
Vets Address?
Vets Phone Number?


Personal Reference Information

Please provide the names and telephone numbers for 3 personal references.

We encourage the use of pet sitters, neighbors, as well as anyone else who has had experience with you and your pet.
Reference #1:
Reference #2:
Reference #3:


Additional Information

Are you willing to allow an Almost Home Animal Shelter representative to do follow-up calls and/or home visits for the purpose of assuring proper care and adjustment of the animal?             Yes No
Are you willing to have a home visit prior to adoption?  Yes No

How much do you think it will cost yearly to own and nurture this pet?

Are you financially prepared and willing to provide this animal with the proper nutrition and health care it will need throughout its life?      Yes No

Is there any additional information you would like considered?

Have you been in contact with an Almost Home Animal Sanctuary representative? Yes No
If yes, with whom?  

Please type or sign your name here.  By doing so, you apply your signature to this form and affirm that all information above is true and correct to the best of your knowledge:
Name:
Date:


We greatly appreciate that you took the time and effort to complete this application.  Please know that we will expedite your application and contact you as soon as we are able.  Again, we thank you.

Please note we do not run adoptions on a "first come, first served" basis, but try to match the most appropriate home for each pet.




PO Box 88
Limekiln, PA 19535
Phone: 484.220.0418
Email: info@almosthomeanimalsanctuary.com

Click Here To Return To List Of Pets At This Shelter