This form is to help us help you find the best match for you and the animals awaiting adoption.
To adopt a pet you:
Please tell us about any pets you have had within the last 5 years who are no longer living with you.
By signing this form. I acknowledge that all information on this form is true and correct. I understand that any misrepresentation of fact may result in FLPS refusing adoption privileges to me. I authorize FLPS to contact all veterinarians listed on the application and the landlord if applicable. If my request for adoption is approved and later FLPS discovers the above information is not true or correct, FLPS reserves the right to remove the adopted dog from my home.