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Pumpkin

Adopted as of 9/3/26

If interested in learning more or adopting, please complete and submit the application below.

Adopted as of 9/3/26
Sex
Breed
Age
Special Needs
Temperament
UTD on vaccines
Spay Neuter
Microchipped

Adoption Application

Name
First Last
Spouse/partner Name
First Last
Address
Street Address City State ZIP Code
Email
Phone
Secondary Phone
List Children (ages) and/or others living in the home:
Do you currently have pets?
- Yes
- No
What type of pets do you currently have?
- Dog
- Cat
- Bird
- Reptile
- Rodent (Hamster, Rabbit & etc)
- Farm Animals (pig, horse, goat & etc)
- Other
List each current pet's name, species, breed, age, spayed/neutered, and temperament:
Are all current pets up to date on vaccinations & parasite control?
- Yes
- No
Please explain why they are not up to date:
Has your bird been checked for any communicable diseases?
- Yes
- No
Are all pets currently on heartworm preventative?
- Yes
- No
Please explain why they are not on heartworm medicine:
Tell us about the pets that you have had in the last 10 years. Name, age, breed, species, and if applicable, why you no longer have them:
Rent or own your home?
- Rent
- Own
Type of residence:
Area:
- City
- Suburban
- Rural
- Farm
Does your landlord allow pets?
- Yes
- No
Explain any restrictions on pets for your place of residence:
Landlord Name
Landlord Phone
Who will be the pet's primary caretaker?
- Myself
Veterinarian's Name (Please call your vet to give permission for a vet reference if they require that)
Veterinarian's Phone Number (Application process may be delayed without this information)
What species are you interested in adopting?
- Dog
- Cat
- Bird
- Reptile
- Rodent (Guinea Pig, hamster, rabbit & etc)
- Farm Animal (Pig, horse, goat & etc)
Pet(s) of interest:
Will your cat spend time outdoors?
- Yes
- No
Explain outdoor activities:
Do you plan to declaw your cat?
- Yes
- No
Have any of your previous cats been declawed?
- Yes
- No
What type of play opportunities will your cat have?
What type of litter will you use?
Home description (in particular what areas of your home will be available to your bird)?
What species of bird(s) are you primarily interested in and why?
Does anyone in your household smoke?
- Yes
- No
Who would take care of your bird when you are not available (travel, illness, etc)?
What activities do you plan to do with your bird?
Does your home have a yard?
- Yes
- No
Is the yard fenced?
- Yes
- No
Please describe the yard feature and fence height etc:
Where will your pet spend most of his/her time?
How many hours per day will your pet be left alone?
Where will your pet spend time when left alone?
How do you feel about crating your dog?
How do you plan to exercise your dog?
What activities do you plan to do with your dog?
Where will your pet sleep at night?
What type of food will you feed your pet?
What brand of food?
List any circumstances that would cause you to not keep your pet:
Anything else you would like to share:
Reference #1 Name
Reference #1 Phone
Reference #2 Name
Reference #2 Phone
Reference #3 Name
Reference #3 Phone
- I hereby state that the information on this application is true and correct to the best of my knowledge.
- I am at least 18 years of age
Signature
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We serve the Greater St. Louis, St. Louis County, and Illinois regions, including: Ballwin, Berkeley, Bridgeton, Chesterfield, Clarkson Valley, Clayton, Dellwood, Des Peres, Ellisville, Ferguson, Flat River, Florissant, Hazelwood, O Fallon, Pacific, Eureka, Fenton House Springs, Cedar Hill, St. Clair, Union, Washington, Arnold, Festus, Belville, Manchester, St Charles, St Peters, Sappington, Town and Country, Twin Oaks, University City, Wentzville, Wildwood, New Melle, Ladue, Lake St. Louis, West County, South County, North County, Jefferson County, and Franklin County

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