Small Animal Adoption Application

Your Contact Information

I would like to be made aware by email of upcoming fundraisers or shelter events:*

General Information

Do you own or rent your home?

If you rent, are you allowed to have pets?

May we contact your landlord to verify this information?

Does anyone in your household suffer from pet related allergies?

Have you had this type of pet before?*

Have you done any research about what type of housing, food, and medical care the animal you have chosen requires?*

Do you plan to breed this animal?*

Will your pet be kept or housed outdoors at any time?*

Will your new pet be allowed to roam the house without supervision?*

For Rabbits

Are you aware rabbits need an annual vet visit and potential additional visits during the year?

Other Pets

Please list the current pets in your household:

Animal 1 Sex:

Animal 2 Sex:

Animal 3 Sex:

Animal 4 Sex:

Would you like DCAS to register you on your behalf for a 6-week complimentary pet insurance if your adoption application is successful? NOTE: This will involve releasing your name, address, phone number and/or e-mail address if available.