Online Adoption Application
Complete this online application to begin the adoption process.
Date of Application *
Date of Application
Name of Adopter - First & Last *
Name of Adopter - First & Last
Name of Co-Adopter or Spouse
Name of Co-Adopter or Spouse
Adopters Date of Birth *
Adopters Date of Birth
Phone *
Phone
Looking to Adopt *
Choose one or both:
Do you own or rent your home? *
Have you owned a rescue animal before? *
Are your pets spayed or neutered? *
Are your pets current on all vaccines? *
Are your pets on heart worm & flea prevention? *
Please select any pet(s) you owned in the past (or currently own)*: *
Veterinarian or Clinic Name*:
Vet Clinic Phone #: *
Vet Clinic Phone #:
I want a dog that is: *
Please choose all that apply
I want a cat that is: *
Please choose all that apply:
My pet will live: *
Please choose all that apply
Do you give Animal Justice League permission to visit your home prior to adoption to do a home check? *
How did you hear about us? *
Electronic Execution: Digital Signature
I certify that the above information is true and correct. Animal Justice League reserves the right to deny any adoption application. My signature below affirms that I have read and agree to all the above conditions:
Date of Signature *
Date of Signature