Matchmaker Form Post December 13, 2016 This form is designated for our foster animals and special needs animals that are available for adoption. If you are interested in an animal currently on the adoption floor, please come down to the shelter to fill out an application! Adopter Information First & Last Name: * E-mail: * Address: * City, State, Zip: * Home Phone: Work Phone: Cell Phone: Are you 18 or older?: Yes Are you 65 or older?: Yes No Drivers License #: * Children and Your Home: * I have children I do not have children Children visit my home Children rarely visit my home Children's Ages: Living Situation: * Rent Own Live with Parents Mobile Home Condo Animal Adoption Type: * Dog Cat Small Animal Pets Living In Your Home Please list all pets in past 10 years: * Please list all pets that have lived in your household in the past 10 years. Include the pets type, age, sex, breed, if it was altered (spayed or neutered), how long you owned it, where it was kept in your house, and if you currently still own this pet. Complete for Dog Adoption Dog Experience: * First time owner Have had one or two Have had many Have attended training classes/hired trainer During the Day My Dog Will Be: * Outside Inside Outside and Garage Uses dog door Crate/Kennel At Night My Dog WIll Be: * Outside In the garage Inside What behavior(s) are unacceptable to you?: Difficult to distract or control when on leash May attack and cause injury to a small animal Afraid of other animals(backs away/may snap) Fearful of new people/places Protective of family/home Shy/Nervous toward children Independent–doesn’t really need people much Clingy–needs to have someone around often Not housetrained What behavior(s) do you desire or could accept?: Very Active/Active Calm/Gentle/Well Mannered Reserved/Shy Excitable/High Energy Confident Playful Pushy/Tests the Limits Protective of family/home Clingy/Dependent Very Active/Active Calm/Gentle/Well Mannered Reserved/Shy Excitable/High Energy Confident Playful Pushy/Tests the Limits Protective of family/home Clingy/Dependent If this application is for a specific animal, please list their name here: If the animal you are interested in is currently in foster care and you know the name of the foster parent, please list it here: Breed(s) of dog I want: Breed(s) of dog I do NOT want: Is there anything else you would like to tell us about your home, or why you would be a good match?: Complete for Cat Adoption How will you manage your cat’s need to scratch?: * I would trim cat’s nails regularly or apply Soft Paws I would provide a scratching post I would train cat not to scratch furniture, if needed I plan on declawing/tendonectomy My cat will be: * Outside only Inside only Inside / Outside Outside and garage only Uses cat door If this application is for a specific animal, please list their name here: If the animal you are interested in is currently in foster care and you know the name of the foster parent, please list it here: Is there anything else you would like to tell us about your home, or why you would be a good match?: Complete for Small Animal Adoption Rabbit, Rodent, Bird, Reptile Expierence: First Time Owner Have Had One or Two Have Had Many During the Day My Pet Will Be: * Inside - Confined Inside - Roaming Freely Outside - Confined Outside - Roaming Freely At Night My Pet WIll Be: * Inside - Confined Inside - Roaming Freely Outside - Confined Outside - Roaming Freely Check ALL personality traits you prefer or could accept about your new companion: Very independent High energy Calm, relaxed Somewhat friendly Very friendly Affectionate Playful Gentle, well mannered Calm Unacceptable behavior toward animals: Friendly with other pets Unfriendly or ignores another pet May attack another pet Gets along with your pets but not unknown pets Afraid of other animals – backs away Unacceptable behavior toward people: Very active/very playful Unfriendly or fearful toward adults Unfriendly or fearful toward children Aggressive – may bite or scratch Independent – doesn’t really need people much If this application is for a specific animal, please list their name here: If the animal you are interested in is currently in foster care and you know the name of the foster parent, please list it here:
