Contact Us

Name *
Name
Phone *
Phone
Physical Address *
Physical Address


Baytown

We have a No Kill mission to save the lives of animals abandoned and/or placed in kill shelters. Through outreach, education, and service, we provide homeless cats and dogs with an opportunity to live their full life. 

Enrollment Application

ENROLLMENT APPLICATION

The following application is intended for the use of requesting the enrollment of a pet that is homeless and/or a pet this is currently seeking a new home due to unfavorable or uncontrollable circumstances. 

Name *
Name
Home Address *
Home Address
Phone *
Phone
Pet Specific Information Regarding the Pet You're Wanting to Enroll
Species *
Sex *
Microchipped *
Please describe the breed characteristics to the best of your knowledge.
Rescue or Pet? *
Please let us know if you are applying to enroll your current pet, or a stray that you rescued.
Spayed/Neutered? *
Please let us know if the pet is currently spayed or neutered.
Is the animal currently up to date on vaccinations? *
If you're applying to enroll a cat, is it feral (wild/cannot be handled)? *
Is the animal currently within your custody and care? *
Where is the animal currently staying/sleeping? *
If you currently own your pet, what are the specific reasons for wanting to re-home your pet? *
Check all that apply.
Are you willing and able to foster (physically house and care for the animal) until they are adopted, if we were to enroll them within our program? *
Please note that there is no guaranteed time frame by which the animal would be adopted into a new home. On average, it takes 3 months for one of our foster pets to get adopted.
Authorization
I certify that the information provided by me in connection with my application, whether on this document or not, is true and complete. I understand that any misstatement, falsification, or omission of information shall be grounds for termination of this application. A Life to Live reserves the right to refuse any application. By typing/signing my name below, I agree with the above terms. *
I certify that the information provided by me in connection with my application, whether on this document or not, is true and complete. I understand that any misstatement, falsification, or omission of information shall be grounds for termination of this application. A Life to Live reserves the right to refuse any application. By typing/signing my name below, I agree with the above terms.
Date *
Date

A Life to Live is an incorporated 501(c)(3) nonprofit organization.  © 2017 A Life to Live. All Rights Reserved.