Adoption Application
By completing this application, you are stating that you understand there is a fee for adoption. This fee covers, but is not limited to, transportation to and from the fosters' home (often from hundreds of miles away), food for the animal, vaccinations, neuter/spay, training, and medical care.

The kitten/cat adoption fee typically ranges from $25.00 - $100.00.
The puppy/dog adoption fee typically ranges from $250.00-$325.00

We do call all veterinarians and references. Ensure your current pets are up to date on vaccines and spayed/neutered (unless a medical reason they are not) or your application cannot be completed. It's also helpful to give your references a head's up that we'll be calling as we follow through carefully on each and every application. Please contact us at tothemoonandbackrescue@yahoo.com if you have any questions.
Email *
Your full name *
Name of animal applying to adopt: *
E-mail *
Full mailing address: Include city, state, postal code. *
Phone number *
Can we text? *
Do you own or rent? *
If rent, provide Landlord name and phone number. We WILL call and check so please have permission to adopt a pet.
Is your yard fenced in? If so, describe fence? (Note: a fenced-in yard is not required but certain animals may require one.) *
Describe your household? Active, quiet? Please list ALL people in your household and ages. *
Are you willing to adopt a pet who is: *
Are all family members on board with adopting a pet? *
Where will the pet spend the day? *
How many hours will the pet be alone? *
Where will the pet sleep at night? *
List all current pets and ages. *
Are all pets UTD on vaccines and spayed/neutered? If not, describe reason why. *
Do you have/agree to have a licensed veterinarian? *
Please provide your vet contact info. This is required. *
Do you have the financial means to give your pet adequate veterinary care including vaccines and emergencies?
Who will have primary care of the pet? *
Do you agree to keep this pet as an indoor pet? *
Do you agree to contact To The Moon and Back Rescue if you can no longer care for the pet? *
Have you ever euthanized a pet? If so, describe circumstances. *
Have you ever surrendered a pet? If so, describe circumstances. *
Please provide 3 non-family member character references with phone numbers. We DO contact all. Applications without this information will not be considered. *
Please list any additional information here. This is where you can tell us more about your household and what kind of pet you think would best fit.
A copy of your responses will be emailed to the address you provided.
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