Thank you for your interest in adopting a senior dog! The following information is required so that we can assist you in the selection of your new pet. This form and consultation with a Young At Heart representative is designed to help us determine if the adoption is in the animal’s best interest, and to assist you in finding the animal most compatible with your lifestyle. Please submit the completed application below.


Your adoption fee helps Young at Heart cover the care provided to this particular pet and others in Young at Heart's adoption program. A home visit may be required. A binding contract will be required to adopt the animal. Please note there may be other applications being considered for any given animal and submitting an application is not a guarantee of adoption.

*Unless otherwise noted in pet's information.

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If you have listed your Veterinarian as a personal reference, please provide a different personal reference.

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