Caring For Creatures

352 Sanctuary Lane, Palmyra, VA 22963
(434) 842-2404 Fax: (434) 842-1308


Click here for a printable adoption form.

I am interested in adopting a:

Preferred Age Range:

Please describe any specific characteristics you are looking for in a dog (such as: breed or mix, long hair/short hair, coloring, high/low energy level, good with children, good with other animals, etc.)

How did you hear about Caring For Creatures?

If Other, please explain


Street Address:


Home Phone:

Cell Phone (if different than home):


Are you at least 18 years of age?

(Adopters must be at least 18 years of age to be considered legal adopter and execute an Adoption Contract.)

Do you  Own Rent
My home is a:

If Other, please explain

How long have you been at this address:

Do you have your landlord’s/condo’s permission to own a dog?

Is there a size limitation?

Landlord's name:

Phone No.:

How many adults in your household?:


Provide Ages:

Are you planning to move in the next six months?
Would your dog go with you if you moved?

Are family members aware that you are considering adopting a dog?

If your family dynamics changed (marriage, divorce, new baby), would you keep your dog?

If an allergy developed, are you willing to take steps to keep your dog?

Do you have a yard?
If yes, is it fenced?
If yes, note the approximate size of fenced area, height of fence, and type of fencing:

If no, how do you intend to exercise your dog and send him/her out for potty breaks?

Our Adoption Agreement provides that a dog will not be chained or tied outdoors, nor left outdoors for long periods unsupervised. Do you agree to these conditions?

Where will your dog sleep?

Where will you keep your dog while you are not home?

Approximately how long would you expect your dog to be alone each day?

Are you familiar with crate training?

If no, would you be willing to learn more about it and consider the use of a crate as a training & transitional aid?

How would you describe your household activity level:

How many dogs have you owned in the past ten years?

Please list each dogs’ name, breed, sex,and age. If you no longer have the animal, what became of it?

Do you have cats?
If yes, how many and what are their ages:

Are your existing animal companions spayed/neutered?

Have you ever bred dogs?

Have you ever trained dogs before?

If yes, what commands were taught?

Do you currently have a veterinarian?

If yes, please provide vet’s name, location, and phone number, if available:

Have you ever been accused or convicted of animal neglect, abuse, or cruelty?

Please add any other information you think would assist us in helping you select the best dog for you and your lifestyle:



There are no wrong animals. There are wrong matchups!