Adoption Application

At AMA we strive to place all of our animals in loving, forever homes with people who understand that a pet is not an object, but a family member. Every rescue we take on has already been abandoned once, and it's our goal to ensure that it never happens again. Therefore we do charge a non-refundable application fee. THIS NON-REFUNDABLE APPLICATION FEE OF $10 MUST BE PAID IN ORDER FOR US TO REVIEW YOUR APPLICATION. Your application fee is a tax deductible donation and will be credited towards the adoption fee, should your application be accepted. This is one way we sort through applicants who are serious in giving our fur children a better tomorrow! You'll be asked for the fee on the last step of your application.
Name of the pet you're interested in
What type of pet are you interested in?*
- Cat
- Dog
Basic Information
Name*
First Last
Email*
Primary Phone*
Alternate Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date of birth*

Pet Care Information
How many hours will your pet be alone each day?*
Where will your pet be kept when you are not home?*
Where will your pet be kept at night?*
Do you have a yard?*
- Yes
- No
Is your yard fenced?*
- Yes
- No
Do you have any other pets?*
- Yes
- No
What other pets do you have?*
Are your other pet's vaccinations current?*
- Yes
- No
Do you have a primary veterinarian?
- Yes
- No
What is your primary veterinarian's name?*
Under what circumstances would you NOT keep your pet?*
I like pets that are*
I am looking for a pet that is:*
- Highly Energetic
- Outdoorsy
- A Lap Pet
- Mellow
- Affectionate
- Quiet
- Guard Dog
I prefer a pet that:*
- Loves children and strangers
- Can tolerate children and strangers
- Loves all other animals
- Can tolerate all other animals
- Don't care if he/she gets along well with other animals
Questions/Comments:
References
Please enter at least two references, including their name, phone number, and their relation to you (mother, father, cousin, etc).
References*
Name Phone Number Relation
Application Fee
Reminder: This is a non-refundable application fee that must be paid in order for us to review your application. Your application fee is a tax deductible donation and will be credited towards the adoption fee, should your application be accepted.
Adoption Application Fee*
Price: $10.00
Credit Card
American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Name
This field is for validation purposes and should be left unchanged.

Basic Information

Household Information

Pet Care Information

References

Application Fee

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