Adoption Application

By submitting an application form, you are not committing to adopting a pet, but providing information UCAPS needs to help you find your perfect pet. You will be contacted by a UCAPS representative to discuss your application and tell you more about the adoption process.

UCAPS adoption fees are $150-$350 to adopt a dog or puppy and $75-$100 to adopt a cat or kitten. Your adoption fees will be used to help rescue other animals.

If you have any questions please call 870-866-3223 or email ucaps1@yahoo.com.

First Name

Last Name

Phone

Street Address

City

State

Zip Code

Are you interested in a dog or a cat?

Name of the animal you are interested in adopting.

Why do you want to adopt a pet?

Who will be the primary caretaker of this pet?

Is there anyone at home who will be adversely affected by the care of dogs/cats (i.e. allergies, etc.)?

Landlord's name and number:

Type and height of fence:

Size of yard (if applicable)

Where will the animal be kept during the day?

Where will the animal be kept during the night?

List any other pets you have now and if they are spayed/neutered and on heartworm prevention:

Does your pet get along with other animals?

If you have had pets in the last 5 years, what became of them?

Are your pets up to date on vaccinations?

May we contact your veterinarian?

Please provide the name, address, and phone number of your most recent veterinarian:

Are you prepared for the expenses of yearly boosters, emergency medical care, and routine care for possibly 10-15 years?

Number of adults in the home:

Number of children in the home:

Children's ages:

Do all members of your household want to adopt this pet?

How long have you lived in your present location?

Do you anticipate moving in the near future?

Are you willing to make a commitment to this pet?

How did you learn about the pet you have applied to adopt?

Comments, questions, or additional information: