Adoption Form

Your First and Last Name

Animal Interested in?

Email + Phone

Please include your full address and indicate whether you own, rent, or live with family. If renting, include landlord contact information.

Own? Live With Others? Rent? If so, landlords permission?

List all adults and children living in the home (include ages). Are all members in agreement about adopting?

List current pets (species, age, spay/neuter status, UTD on vaccinations/heart worm preventative?).

Describe a typical weekday in your home. How many hours would the dog be alone? Where will the dog stay during the day and sleep at night?

If adopting a puppy, describe your plan for potty training, supervision, and handling chewing or behavioral challenges.

If you go on vacation or move, do you have a plan for your pet?

Please provide the name and phone number of your current or most recent veterinarian. By submitting this application, you authorize Chicken Nugget & Gang to contact your veterinarian to verify vaccination history and general pet care

*All adoption applicants will be subject to a background check through Mycase/public court records. By submitting this application, you acknowledge and consent to this review as part of our adoption screening process to ensure the safety and well-being of our animals.*

Adoption Form

Address

Phone

About Us

Email

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