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PAS Adoption Application 2025
Apply to adopt an new animal companion!
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* Indicates required question
Name
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Your answer
Your Spouse / Partner's Name
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Your answer
Which animal caught your eye?
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Physical / Mailing Address
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Your answer
How long at your current address?
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Your answer
How many people in your household?
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Your answer
What are the ages of the people living at this address?
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Your answer
What type of home do you have?
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Your answer
Do you own or rent?
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Own
Rent
If you rent, what are the pet policies?
Your answer
If applicable, what is your landlord's contact information?
Your answer
Do you have a fenced yard?
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Your answer
Why did you select this animal?
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Your answer
Why are you looking to adopt at this time
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Your answer
Do you currently have any pets?
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If no, enter NONE. If yes, please tell us about them.
Your answer
Have you owned animals in the past?
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If yes, tell us about them.
Your answer
Where will the animal be kept during the day and at night?
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Your answer
How long will the animal be left alone each day?
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Your answer
What type of enrichment will be offered each day?
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Walks? Playtime? Grooming? Park?
Your answer
Who will be the primary caregiver?
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Your answer
What type and brand of food will you feed?
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Your answer
Do you intend to crate?
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Yes
No
Do you have a veterinarian?
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If yes, please provide their contact information.
Your answer
What is the maximum you are willing to spend on vet expenses?
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Your answer
How much do you anticipate spending on this animal each year?
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Food, toys, treats, enrichment, etc...
Your answer
What would you do if this animal became destructive?
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Your answer
Under what circumstances would you return this animal to PAS?
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Your answer
If you were to move from your current residence, what would you do with this animal?
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Your answer
I am willing...
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Check all that apply.
to adopt an animal who is not completely housebroken.
to adopt an animal with special needs.
to adopt an animal that requires medication to manage a permanent condition.
all of the above
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.
Your answer
Please accept these terms.
*
I acknowledge that I am not guaranteed an animal.
I acknowledge that PAS has the right to deny my application for any reason.
I acknowledge that PAS reserves the right to NOT reveal to anyone, the reasons for an application denial.
I acknowledge that I will only be contacted by PAS, if I am found to be potentially compatible with one or more of their available animals.
I acknowledge that PAS reserves the right to terminate the application process at any point, for any reason.
I acknowledge that lying on this application or submitting it under false pretenses, will result in my application being denied.
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.
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