First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Work Phone x
Cell Phone*
Alt Email
Text/Pager Email
Which animal are you interested in Choose an animal: Apple Ash Beamer and Twix Beatrice Bertie Bob(cat) Bongo Boone Boulder Brock Brooks Bruce Buck Camembert Carmel Chip Churro Cranberry Crosby Danny Daphne Desi (must be adopted with Lucy) Deuce Duncan Dwight Eclipse Esther Etta Allen Toes Fenrir Finn Fritter Goofy Gracie Granny (must be adopted with Wrinkle) Hercules Hobbs Holly Jalapeno Jimmy Kaleidos Kora Lowry Lucy (must be adopted with Desi) Malibu Marie Matzo Midnight Mike D Miko Miles Moto Nutella Odette Patsy Penny Pippa Pudding Pumpkin Romeow Sage Savvy Scoops Scout Sebastian SeeBee Shortcake Skeeter Spud Summer Toby Truffle Twinkle Valerie Wally Walter Wrangler Wrinkle (must be adopted with Granny) Zephyr
What are the best times to reach you by phone? And what is your preferred method of contact? Email, phone or text?*
Please provide: Full name and age (including yourself) of anyone who resides in your home, include birth month and year for all adults (only ages of minor children). *
Will the animal be kept inside or outside Choose one: Inside Only Outside Only Inside and Outside
When you are home, where will the animal be kept?
Where will the animal be kept when he/she is home alone?*
What traits are you looking for in a pet
For cats only: Are you planning to declaw? Choose one: No Yes Animal Human
What is your veterinarian clinic name and phone number with the most current records?*
Have you applied with any other rescue Choose one: No Yes Animal Human
Have you ever given up a pet? If yes, please explain
Dwelling type?* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
Do you own or rent your home Choose one: Rent Own
If you rent or live in an association, please enter the homeowner/landlord/association name and phone number:*
Length of time in current residence?*
Please list all other pets in the home: Specify Breed, Name and Age*
Are your pets current on vaccines?*
Is your pet spayed/neutered?
What issues do you believe you are not able to deal with and would cause you to return a pet?*
Are you prepared for an adjustment period?*
List at least one reference who is not a family member (name and phone number please):*
How did you hear about us
Anything else you think we should know?
I certify that the information entered on this application is true. I acknowledge that dogs & cats are animals and will behave differently than people in their responses to human actions and changes in environment and that the behavior of an animal can be unpredictable. By submitting this application, you agree to release MARS from any liability regarding accidents, damage or behavior the pet may display. MARS relies on information provided by shelter staff, veterinary reports, previous owners, foster homes, trainers, etc. We can only share that information with you and cannot predict what behavior the animal might display. MARS does it's best educated guess as to the breed(s) but it is just that, a guess. MARS makes no breed guarantee. Enter your name and date:*
