Placement Form for Other Pets

About the Owner

Name (required)

Email Address (required)

Phone Number

Address

City
State Zip Code

About the Pet

Pet's Name:

Type:
RabbitGuinea PigOther

Color:

Sex:
FemaleMale

Spayed or Neutered?
YesNo

If not, will owner do it?
YesNo

Age

Weight

Housetrained (if applicable)?
YesNo

Pet Lives:
Strictly IndoorMostly IndoorMostly OutdoorBoth

Any behavior problems?

Illness/Medical History:

Name of the pet's Veterinarian/Clinic:

Pet's Personality (check all that apply):
LoverSweetPlayfulTimidProtectiveMeanOther

Other info or cute habits:

Pet currently lives in:
ApartmentHomeMobile HomeOther

Pet's Behavior with Children

Pet lives with young kids (Under 5)?
YesNo

Pet is good with young kids?
YesNo

Pet lives with older kids?
YesNo

Pet is good with older kids?
YesNo

If not good with kids, why not (be specific)?

Pet's Behavior with Dogs

Pet lives with dogs?
YesNo

Pet's reaction to dogs (check all that apply)?
GoodFightsScaredOther

Pet's reaction to non-owned dogs (check all that apply)?
GoodFightsScaredOther

Pet's Behavior with Cats

Pet lives with cats?
YesNo

Pet's reaction to cats (check all that apply)?
GoodChasesHurtsKillsOther

Pet's reaction to non-owned cats (check all that apply)?
GoodChasesHurtsKillsOther

Placement Information

Reason new home is needed:

Urgency:
Can Keep Until PlacedUrgentFoster Home RequestedPossible Euthanization

Owner can keep until:

It cannot be stressed enough that sending us a picture (or pictures) of your dog will increase the chances of adoption considerably.
Please attach up to 3 pictures of the pet (max size 5mb per picture):

By submitting this placement form, you agree to continued participation in the adoption process, including providing a picture (whether through this form, or sent later by email or US Mail), attending adoption events when possible, and responding to requests for information in a timely manner.

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