About Us

News

Visit us on our website www.adopt-me-society.org

Adopting A Friend

 

Adopt ME Society Adoption Application

                                                                   www.adopt-me-society.org

Please fill out the following questionnaire to help us find the right companion match for you.

 

 Name(s):__________________________________

Address: ______________________________________

City: ______________ State: _________ Zip: _________

Home Phone: _________________ Cell: _____________ Work: _____________ Email____________________________________________________________

 

What type pet are you looking for: _______Dog _________Cat_________ Dog/Cat?

 

Is this pet for: ___________You ____________Family ____________ Another Person

 

Why do you want a pet? ______________________________________________________________

 

Explain what you are looking for in a pet? ________________________________________ _______________________________________________________________________

 

Size: (Dog Adoptions) ____Small up to 30 pounds ____Medium 40-70 pounds ____Large 80-100 pounds

___ Huge over 100 pounds _____ Any size is OK   ____ Depends on Dogs

 

Breed: I am looking for the following breed(s)

Activity Level: ____ Low____ Medium _____ High   

 

Age: ___8wks-3 mos ___ 3-6mos ___ 6-18mos ___8mos – 3 yrs ___ 4-6 yrs ___ Any age is OK

 

How many people live in your home? _____

List Names and Relationships:

 

Names:                                     Relationships                                              Age

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

 

Do children or grandchildren visit on occasion’s _____ Yes/Ages: _____/ ____No

                                                                                                                                               

Is any one in your home allergic to any pets? ____No ____ Yes ___Don‘t Know

 

Does your home have a yard: ___ Yes ___ Fenced ___ Not fenced ___ No yard

 

Your household is ___ Quiet ___ Active ___ Very Active

 

Do you: ___ Own ____ Rent ____ Live with parents

 

Does your landlord allow pets? ________

 

Please list your landlords name and phone. ______________________________________________________________________________________

 

 

 

Where will you keep your pet during the day? _____Inside ____ Outside _____Inside/outside

At night: _____Inside ____ Outside _____Inside/outside

 

 

How many hours in a day will your pet be home alone:

____ Somebody is usually always home____ 1-4 hours ____ 8-12 hours ___ I come home during lunch

____ I bring my pet to work with me _____ I plan on using doggie day care ____ I have a doggie Door

 

 

 

The pet I adopt must (check all that apply) ___ Do well with children ____ Do well with dogs

 ___ Do well with cats ___ Do well with strangers

 

I’m prepared to train my new pet for __ Housebreaking __ Destructive chewing __ Separation anxiety

 

Who will be your new pet(s) primary caretaker: __________________________________________

 

I am willing to spend up to the following amount for treatment of a pet: ___ $0-$50 __$51-$100

__$101-$250 __ $251-$500 ___ Whatever the animal needs.

 

Your Pet History

Please provide a list of current and past animals. Include type and ages, how long you had them, where did you get them and why they’re no longer with you. 

 

Pets name        Breed                            Age               Adopted from               with you/why not with you  

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

  

Are they current on vaccinations (including rabies)   ___Yes ___ No

Are they spayed or neutered ____ Yes ___ No

Are they licensed __yes __ no

 

Under what circumstances would you give up a pet? _________________________________________

 

Have you ever had to give up a pet? If yes tell us why and what did you do.

 

______________________________________________________________________________________

______________________________________________________________________________________

 

Name of your veterinarian: ______________________________________________________________

 

 

 

Sign _______________________________________________________   Date __________________

 

ADOPT ME SOCIETY

                                                  Daye Abbott   801-209-6130

                                                 Amy Kreitzer   801-910-9233

                                                  Stacie Turner   801-243-6896  

 

Who We Are

Adopt ME Society is a 501(c)(3) Non-profit organization run by volunteers whose shared goal is to rescue, provide sanctuary and ultimately to re-home abandoned, stray and neglected animals. 

 

 


Come Visit Us

Pets Mart 5748 South Redwood Road, Taylorsville, UT - Sat /  Sun 11 am - 4 pm

 

Contact Adopt Me Society





UT167

Available Animals

Happy Tails

Powered by Petfinder


Loading Pets...