Adoption Form
Please fill out the following fields
Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Email
Your answer
Phone
Your answer
Are you on Facebook?
If so, what is your profile name?
Your answer
Employment Status
Required
If employed, what is your employer's name?
Your answer
Spouse / Partner's Name (if applicable)
Your answer
Are there children living in the home?
Number and ages of children
Your answer
Have you carefully considered the financial cost of pet ownership and are you financially able to give your pet required routine medical care?
Will you provide your pet with heartworm preventative?
What brand of heartworm preventative have you used in the past?
Your answer
Have you owned a pet in the past?
What happened to the pets you no longer have?
Required
Have you ever adopted a rescue pet?
If so, what is the name of the rescue from which you obtained your pet?
Your answer
Do you currently have any pets?
Which kinds of pets do you currently have?
Briefly describe your current pet(s). Age, breed, how many, etc.
Your answer
If you have pets (currently or in the past), are they spayed/neutered?
Are your pets up to date with vaccinations?
What training have you given your pets?
Your answer
Which pet are you interested in adopting? (Please enter the name of the pet, not a number)
Your answer
Does everyone in the household agree about adopting this pet?
Who will be the primary caregiver and trainer of this pet?
Your answer
Does anyone in the household have allergies to animals?
If so, which animals?
Your answer
Why do you want this pet?
Home Environment Information
Do you rent or own?
If you rent, can you furnish a notarized letter from your landlord granting you permission to have pets on the property?
Is your yard fenced?
What kind of fence?
If not, will your pet be supervised at all times when outside?
Where will your new pet be kept during the day?
Will there be anyone home during work hours?
Approximately how long will your pet be home alone daily?
Where will your pet spend its time alone?
Your answer
Do you travel frequently?
Will your pet travel with you?
If not, where will your pet stay while you are gone?
Your answer
If you move, what will you do with your pet?
Your answer
Veterinarian Information
Name
Your answer
Street Address
Your answer
City & State
Your answer
Phone
Your answer
Have you used the above vet in the past?
If not, please provide information for a vet you have used in the past.
Name (past vet)
Your answer
Address, City, State
Your answer
Phone
Your answer
References (non-family members)
Reference #1 Name
Your answer
Reference #1 Phone
Your answer
Reference #2 Name
Your answer
Reference #2 Phone
Your answer
If your adoption is successful, may we include your name and possibly a photo in our newsletter?
Do you agree that the animal will be returned to PAWS if for any reason you are unable to keep it?
I certify that the information provided on this form is true and correct. I am also financially and physically able to care for this animal. I understand that proper food and veterinarian care can be costly and I am able to meet these requirements. *
All applicants are subject to a home visit. Home visits are made on a random basis following or prior to adoption.
If upon inspection, PAWS find information in this application to be false, PAWS retains the right to refuse the adoption or remove the animal from your premises without a refund of fees paid. PAWS reserves the right to refuse an application for whatever reason it deems fit.
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