Adoption Application Form

Thank you for your interest in adopting from our shelter! We reserve the right to accept or decline applications.

Please DO NOT press 'Enter' until ready to Submit.

Also, we are located in Marshfield, WISCONSIN ... not Massachusetts. Thank You!

Applicant's Information











Your Ideal Pet

















Animal Information






















Applicant's Information






Landlord's Name Landlord's Phone













Current and Previous Pets

Please provide the following information for each animal currently living in your household:

Owner Name Animal Name Type/Breed Age & Sex Spayed/Neutered? Inside/Outside? How long owned?







Veterinarian Information

If you currently have pets or have had a pet in the past five years, please provide a veterinary reference. Please also list veterinarian of other pets currently living in your household, even if owned by another person.
*Please call your vet to give permission for veterinarian to release information to MAPS*






Personal References

Please provide three personal references. These should be people who are familiar with your experience with animals and should not be relatives. Friends, coworkers, neighbors, clergy, etc. are all fine.















Signature (Type Name): Date: