2. Liberty Animal Shelter Adoption Application

   
   Phone: 816.439.4791  Fax: 816.439.4794

   The Liberty Animal Shelter reserves the right to refuse an adoption.

   
   

   This adoption application requires detailed information about your pet ownership history, what vet you use, who will be the primary caregiver for the animal and more. Please read through and make sure you have all the necessary information on hand before starting the application. If you would prefer to download and print a PDF version of the application, that is available online here »

4. Name
5. Phone Number
6. Date of Birth
7. Email Address
9. Names and ages of others living at your residence
11. Address
12. City
13. State
14. Zip Code
16. What type of pet are you applying to adopt?

    1. Dog
    2. Cat
    3. Puppy
    4. Kitten
    5. Other
17. Is there a specific pet at the Shelter that you're interested in?
19. Why do you want to adopt a pet?
21. For whom are you adopting this pet?
22. What size of animal are you looking for?

    1. Toy
    2. Small
    3. Medium
    4. Large
    5. Giant
24. What best describes the pet you are looking to adopt?

    1. Athletic / High Energy
    2. Outdoors
    3. Barn Cat
    4. Mellow
    5. Guard
    6. Family Pet
    7. Working
    8. Hunting
    9. Companion
25. Do you understand that many animals that come to the shelter are from unknown origin and they may grow larger or stay smaller than estimated?

    1. Yes
    2. No
27. Do you understand that all animals require routine veterinary care, which includes but is not limited to, vaccinations, preventative treatment, grooming, illness and injury?

    1. Yes
    2. No
28. Are you willing to provide that care?

    1. Yes
    2. No
30. Have all the adults in your household agreed to adopt a pet at this time?

    1. Yes
    2. No
31. If this pet is for a minor, who will be responsible for this pet's care and to ensure veterinary care is provided?
33. Where will the pet spend most of the day and night?

    (Please be specific, e.g. in the house, crate, basement, garage, yard, etc) 

34. Is your yard fenced or do you have a pen outside for the pet?

    1. Yes
    2. No
    3. N/A - I live in an apartment
36. Do you have shelter for the pet outside?

    1. Yes
    2. No
    3. N/A - I live in an apartment
37. What type of shelter will be provided?

    (Please be specific, e.g. a doghouse, dog door, barn, shed, tree, under the deck etc.) 

39. Will anyone be home during the day?

    1. Yes
    2. No
40. How long will the pet be left unattended during an average day?
42. When no one is home, where will the pet be kept?

    (Please be specific, e.g. outside, in a crate, free to roam the house, in one specific room, etc.)

43. What will you do with the pet if you travel or go on vacation?
45. Do you rent or do you own your home?

    1. Rent
    2. Own
46. If you rent, what is your Landlord’s name and phone number?
48. Tell us about the other pets that you currently own and/or other pets living in the same household. Please list the animal’s species, name, age, breed and sterilization status.
50. How many pets have you had in the last 5 years?
51. What has happened to those pets (if they are not listed above as currently owned)?

    Please be very specific, and include species, name, age, breed, and sterilization status of each. If the pet has passed away explain how, if you had to give the animal away, explain why, etc.

53. Which veterinarian clinic do you use and what is their phone number?
54. Would the records for your pets (current or former) be under any other name that is not included on this application?
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56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

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