PAS Adoption Application 2025
Apply to adopt an new animal companion!
Sign in to Google to save your progress. Learn more
Name *
Your Spouse / Partner's Name *
Which animal caught your eye? *
Phone Number *
Email Address *
Physical / Mailing Address  *
How long at your current address? *
How many people in your household? *
What are the ages of the people living at this address? *
What type of home do you have? *
Do you own or rent? *
If you rent, what are the pet policies?
If applicable, what is your landlord's contact information?
Do you have a fenced yard? *
Why did you select this animal? *
Why are you looking to adopt at this time *
Do you currently have any pets? *
If no, enter NONE. If yes, please tell us about them.
Have you owned animals in the past? *
If yes, tell us about them.
Where will the animal be kept during the day and at night? *
How long will the animal be left alone each day? *
What type of enrichment will be offered each day? *
Walks? Playtime? Grooming? Park?
Who will be the primary caregiver? *
What type and brand of food will you feed? *
Do you intend to crate? *
Do you have a veterinarian? *
If yes, please provide their contact information.
What is the maximum you are willing to spend on vet expenses? *
How much do you anticipate spending on this animal each year? *
Food, toys, treats, enrichment, etc...
What would you do if this animal became destructive? *
Under what circumstances would you return this animal to PAS? *
If you were to move from your current residence, what would you do with this animal? *
I am willing... *
Check all that apply.
Required
Please provide three personal references. We will not consider any applications lacking references.
*
To help expedite your application provide email addresses, phone numbers and the relationship of your references.
Please accept these terms. *
Required
PACIFIC ANIMAL SOCIETY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, CREED, COLOR, RELIGION, GENDER, AGE, NATIONAL ORIGIN, PHYSICAL OR MENTAL HEALTH, SEXUAL ORIENTATION, OR ANY CHARACTERISTIC PROTECTED BY LAW.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report