PHP Animal Shelter

Providing Hope for Pets

Online Adoption Form

If you are considering finding your newest family member at our shelter, please take your time to fill out our online adoption form. After you fill out a form, there will be a 48 hour processing period where we will go over your information and allow you to think over your decision to adopt as well. Hard-copy forms are available at the shelter as well.

Full Name: Email address: Phone number: Birth date: Street address: City: State: Zip Code: What is your employment status? If you are currently employed, what is your place of employment? How many hours per week do you spend at work or at school? How long have you lived at your current address? What type is your home? Do you rent or own your home?

If you rent your home, please provide your landlord's name and phone number.

Name of Landlord: Landlord's Phone Number: How would you best describe your home environment in one sentence? (Noisy, quiet, hectic, etc.) How would you describe the environment surrounding your home? (Lots of traffic, countryside, suburban, etc.)

What is your reason for adoption?

Family Pet Companion Hunting Protection Mouser Barn cat Who will be responsible for the care of this animal? How many adults live in your home? Please provide the number of children in your home who are below the age of 10.

Select the other types of animals who live in your home.

I don't own any other animals. Dog Cat Bird Reptile Rodent other How many hours per day will the pet be alone? Who will care for the animal when you are out of town?

Have you ever adopted an animal from a shelter before?

Yes No If yes, when did you adopt this animal and where is it now?

Have you ever surrendered an animal to a shelter before?

Yes No If yes, what was your reason for doing so?