GSAL Adoption Form

Please fill out this form completely to be considered for an adoption through GSAL.

Name of cat(s) you would like to adopt*

First Name*

Last Name*

Address*

Address 2

City*

State*

Zip Code*

Email*

Confirm Email*

Phone*

Cell Phone*

Drivers License No.

Place of Employment

Work Phone

Housing: Check all that apply.

Own

Rent

Live With Parents

Military

If renting, please give Landlord’s name

If renting, please give Landlord’s phone number

How long have you lived at present address?

Do you plan on moving within the next 6 months?

If yes, what are your plans for your pets?

# of Adults

# of Children

Ages?

I am a:

First Time Pet Owner

Had Pets In the Past, as a Child

Third Had Pets In the Past, as an Adult

Currently Own

Pet History

Please give us a history of your pets from the last 5 years.

Include all pets in the last 5 years. Be sure to mention type, breed, sex, age, spayed/neutered/declawed, where the pets were kept, vaccinations, years owned, and for how long. *

Name of Veterinarian and/or Clinic

Name account is listed under

Have you ever had to bring an animal to a shelter?*

Yes

If so, under what circumstances?

I Prefer An:

How many hours per day will your pet be left home alone?

If your pet will be kept outside, what kind of shelter will be provided?

General Household Atmosphere:

Busy/Fast Pace

Some Activity

Quiet

How often do you travel?

How will your pet be cared for while you're away?

Do all the adults in your household know that you plan to adopt?

Yes

Does anyone in your household have allergies to animals?

Yes

Who will be the pet's primary caretaker?

Change is inevitable in one's lifetime. What will you do if you move or you can no longer care for your pet?

Have you ever been convicted of or received citations for the violation of Federal, State, or Municipal animal codes?

Yes

Are the pets currently in your home up to date with their shots?

Yes

Don't Know

N/A

Are you aware of the annual routine vaccinations recommended for the health and protection of your pet and/or the pet you intend to adopt?

Yes

Are you prepared to assume the financial responsibilities of providing your pet with adequate food, medical care, housing, training, toys, etc.? (est. $500+ per year)

Yes

Are you prepared to commit to caring for your new pet for the next 10 to 15 years?

Yes

Final Verification

I certify that I am at least 25 years of age and the information I have provided is true. I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a pet. I authorize any and all verifications of statements made in the application, and I understand that the Gulf Shore Animal League has the right to deny my application. I agree to hold GSAL harmless for any issues related to this pet's health and/or temperament. I further understand that I am not purchasing a pet, but adopting a homeless animal. Any donation made on this pet's behalf is not tender for this pet and is non-refundable. Donations to GSAL are applied 100% to approved programs, services, and operations. Registration number CH15717.

Signature*

By typing your name here, you are acknowledging your electronic signature of this application.

Thank you for your interest. One of our adoption counselors will be in touch shortly.