Resources Adopters Animal Rehoming Animal Welfare Partners Community Cats Trap-Neuter-Return Program For Pet Parents Cats Dogs Resources to Help Care For Your Pet Report Animal Cruelty Veterinary Center Home Resources Animal Rehoming Admissions ApplicationAdmissions Application Please fill out the below form and a team member will be in contact with you. Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County of Residence(Required) Email(Required) Enter Email Confirm Email Phone(Required)Date of Birth(Required) MM slash DD slash YYYY Did you adopt your animal from AHS?:(Required) Yes No Animal Name:(Required) Cat or Dog?(Required) Cat Dog Breed:(Required)Domestic ShorthairDomestic Medium HairDomestic Long HairMaine CoonRagdollSiameseBreed:(Required)American Blue HeelerAustralian Cattle DogBassett HoundBeagleBelgian MlinoisBichon FriseBorder CollieBoxerBulldogCane CorsoChihuahuaChowDoberman PinscherGreat PyreneesHoundHuskyMalteseMixed Breed (Large > 44 lbs)Mixed Breed (Medium 24-44 lbs)Mixed Breed (Small) <24 lbs)Mountain CurPointerPomeranianPoodle, MiniaturePoodle, StandardPugRetriever, GoldenRetriever, LabradorRottweilerSchnauzerShepherdShepherd, GermanShih TzuSpanielSpaniel, CockerTerrierTerrier, BostonTerrier, Jack RussellTerrier, Pit BullTerrier, YorkshireAge(Required)< 1 month1 month2 months3 months4 months5 months6 months7 months8 months9 months10 months11 months1 year2 years3 years4 years5 years6 years7 years8 years9. years10 years +Size:(Required)Small (0-22lbs)Medium: (23-44lbs)Large (45-65lbs)Extra Large (66lbs+)Gender:(Required) Male Female Spayed/Neutered?(Required) Yes No Unknown Primary Color:(Required) Secondary Color: Has your animal bitten anyone in the past 10 days?(Required) Yes No If yes, please explain:Is your pet microchipped?(Required) Yes No Unkown If yes, what is the microchip number:(Required) Length owned:(Required) Where did you originally get your animal?(Required)AbandonedBreederConfiscatedFamily / RelativeFarmFlea MarketFound StrayFriendGiftGiveawayInternetNeighborNewspaper AdOffspring From PetOther Rescue GroupOther ShelterPet StoreThis ShelterUnknownVetReason for surrender?(Required)Abandoned by OwnerAggression to AnimalsAggression to PeopleAllergic to AnimalBehavior IssuesBite HistoryCannot AffordChange in LifestyleChases AnimalsChases CatsChases PeopleChases VehiclesCostDeath of Owner / FamilyDestructive InsideDestructive OutsideDisobedientDivorce / SeparationDoesn't Like CatsDoesn't Like ChildrenDoesn't Like DogsDoesn't Like Other PetsEscapesEuthanasia RequestEvictionExisting Pet Not Getting AlongFearfulFound - Cannot KeepHealth of AnimalHealth of Owner / FamilyIllegal AnimalInadequate Housing / YardInsurance RestrictionsJumps UpLandlord IssuesLitterbox OdorMovingNeeds More StructureNeeds Too Much AttentionNervous Around ChildrenNew BabyNo HomeNot a Good MatchNot Enough TimeNot FriendlyNot Housebroken / HousesoilingNot ProtectivePersonal ProblemsPregnancy of AnimalPregnancy of Owner / FamilyPrey DriveShedsTemperamentToo ActiveToo BigToo Many AnimalsToo Much ResponsibilityToo NoisyToo OldToo SmallToo YoungTravelUnable to TrainUnrealistic ExpectationsUnwantedUnwanted GiftUnwanted LitterWrong SexIf you selected behavior issues, please describe:Additional information:Please use this field to provide any additional information that you feel it would be helpful for our team to know.CAPTCHAHiddenBreed(Required) HiddenAge (years, months, weeks):(Required)Please be as specific as possible, and be sure to indicate whether the age is in years, months, and/or weeks. HiddenCat or Dog?(Required) Cat Dog HiddenWhere did you originally get your animal?:(Required) HiddenReason for surrender:(Required)NameThis field is for validation purposes and should be left unchanged.
