Adopt a Pet FormPlease help rescue an animal in need − Adopt!Please enable JavaScript in your browser to complete this form.Which animal are you interested in adopting? *Your Name *FirstLastYour permanent Street Address *City, State and Country *Email *Phone Number *Are you currently in or near San Pancho? Where can we find you? *How many adults live in your home, besides you? What are their names? *Are there children in your home? *YesNoIf yes, what are the children's ages?Does anyone in your home have pet allergies or asthma? *YesNoPlease describe your home (small yard, acreage, house, condo, apartment) *Is there a fenced yard? *YesNoDo you own or rent the home?OwnRentIf you rent, please provide your landlord's name, phone number and email addressHave you ever owned a pet before? *YesNoThird ChoiceIf you have other pets in the home, please list their name, breed, age, size and genderAre all pets in your home up to date on their vaccinations? *YesNoNot applicableIs everyone in your home agreeable to having a new pet?YesNoOn average, how many hours a day will your pet be alone at home?? *Where will your pet stay when it is alone at home (in a room, in the house, in the yard, etc)? *What is your preferred activity level for your pet? *Low Energy — Total Couch PotatoMedium Energy — Short WalksHigh Energy — Vigorous Walks, HikingWhat are you looking for in a pet (temperament, abilities, activities, mobility etc.)? *Are there specific sizes, weight or breeds of a pet would you be willing to adopt?Do you agree to License (if required) and provide regular health care for your adopted animal? *YesNoHave you ever surrendered or had to re-home a pet? *YesNoDo you already have a veterinarian? *YesNoIf you have a veterinarian, please provide their name, phone number and email addressAdoption Agreement: Most of our rescue animals come with zero, if any training. During their time in foster care our volunteers are only scratching the surface of working on the animal's manners, potty training, crate and leash training, and perhaps the most basic type of obedience training. Most training must happen with the adopter (you) after the pet goes to their new home. By submitting this form you agree that you are prepared to work with your new pet as is needed in order for it to learn potty training, control over chewing things, crate and leash training, obedience commands, and to provide the structure necessary to help your new pet become a well-mannered companion.I agreeI DO NOT agreeSubmit