Chesapeake Cats and Dogs: A life of love and dignity for all animals

Adoption Application

Adoptable Cats | Adoptable Dogs

All applications are processed by volunteers in the order they are received with the intent to make the best match for families and dogs/cats.

To adopt from us, please fill out an adoption application by filling out the form below or downloading one of these files: Microsoft WORD file, PDF file (to print). (If you download one of the files, you can submit your completed application by email, by fax at 866-811-5119, or by dropping it off at our adoption center during open business hours.) This application will give us the information we need to make sure the cat or dog you’re considering is the right fit for your home. The adoption donation ($100 for cats; usually between $200-400 for dogs, depending on breed) helps to cover the costs of spaying/neutering, testing for contagious diseases, micro-chipping, and required shots. Please contact us at 410-643-9955 if you have any questions. Please understand that it may take longer at times for us to process applications on high-interest animals, such as kittens or puppies. Thank you for understanding!


Adoption Application Form:

DISCLAIMER: Chesapeake Cats and Dogs (CCAD) does not guarantee that all prospective adopters/applicants will be approved. We reserve the right to choose the adoptive families we feel are most suited to the pet’s needs at the time of application. We evaluate all applicants on a case-by-case basis. People who are not approved may wish to reapply for a different dog or cat at a later time when their circumstances change. In addition, we reserve the right to redirect applicants to a dog or cat that better fits your lifestyle in order to have a successful adoption. If concerns present themselves at any time during the adoption process, we reserve the right to reevaluate your application.

Please note: if you filled out an application and have not received a response from us within 48 hours to verify your application was received, please contact us by email or by calling 410-643-9955.

This application is for a (required):
Name of Cat or Dog (required):

Your Name (required):

Your Email (required):

Cell Phone Number (required):

Home Phone Number (required):

Driver’s License # (required):

Address (where the animal will be living; please include street, city, state, and zip code) (required):

Why have you chosen this specific dog or cat to adopt?:

There is a non-refundable adoption fee – is this acceptable to you? (required): YesNo

VET REFERENCE

Are you using a vet presently or have you used a vet in the last 12 months (we verify vet references)? (required): YesNo

If yes, please provide the name, address, and phone number of your current vet (if no, please type in N/A) (required):

HOME:

Do you: OwnRent

Type of dwelling (check one) (required): single family hometownhouseapartment/condoother

If you rent, do you have the approval to keep a pet from your landlord? YesNo

Landlord’s name and telephone number:

If adopting a dog, do you have a fenced yard?: YesNo

If so, how high is your fence?

What kind of fence is it? (i.e. chain link, electronic, etc.)

Where will the pet be kept when no one is at home? (required):

How many hours of the day will the pet be left alone? (required):

Where will the pet sleep? (required):

Where will the pet stay when you travel or are away? (required):

Describe the activity level in your home (required):

Are there children currently in the home?: YesNo

If yes, Ages:

Are there regular child visitors?: YesNo

Has anyone been diagnosed with dog or cat allergies in the home?: YesNo

OTHER PETS:

Have you ever given away, sold, or surrendered a pet? (required): YesNo

If yes, when and under what circumstances?:

Please list all current pets and former pets, including whether they were a dog/cat, if they were spayed/neutered, whether they are still with you, what age they are, and what happened if pet is not still with you (if no other pets, please enter N/A in the text areas below):

What kind of heartworm meds (for dogs) and flea preventatives (cats and dogs) are you using on current pets?:

Cost of Care Questions:

(Please give your best estimate for the following:)

Cost of food for one month:

What brand of food will you use?:

Cost of routine veterinary care for a year:

Cost of grooming for this pet if necessary:

Cost of litter/toys/treats for this pet for a year:

General Questions:

Have you ever taken a dog to training classes? YesNo

What are your biggest concerns in adopting a pet? (required):

Applicant hereby consents for to release any information requested by the CCAD rescue group regarding prior animals owned by the applicant and veterinary care provided by the applicant.

(Signature of Prospective Adopter) Typing your name here constitutes a digital signature:

Date: