CARE Adoption Screening Form
All fields MUST be completed.

By submitting this form, the adoption process is NOT COMPLETE.
The CARE team will go through the details and get back to you depending upon your suitability as a pet parent. Please give a convenient time for a call back.
The Final Adoption form must be filled up in person at the shelter once the screening process is completed and approved.
Please note: All adult animals are sterilized/neutered before they are sent to adoptive homes. In case of adoption of pups, we recommend that you sterilize/neuter them when they are ready. This can be done either in our facility or by a veterinarian of your choice.
A pet is a lifetime commitment and a family member. The decision has emotional, physical & financial implications. Do examine all aspects of your life thoroughly & make an informed decision before submitting the form.
Name *
Your answer
Date of Birth *
Your answer
Gender *
Occupation *
Your answer
Your answer
Phone Number *
Your answer
Alternative Phone Number
Your answer
Email ID *
Your answer
Re enter Email ID
Your answer
1. I am interested in adopting *
Other Specifications if Any (Colour, Gender etc)
Your answer
2. In case you are interested in adopting a specific animal, mention the name of the animal.
Your answer
3. Reason for adopting? *
4. Are you living with *
5 A. How many members are there in your family?
Your answer
5 B. Are there any children below 13 years ?
5 C. If yes, will you be able to cope with children & pets?
5 D. In case of events like child birth and the family expanding, will you be able to cope with the baby & the pet?
6.House Type *
7. House Ownership *
8 A. If not owned, have you informed & received the approval of the owner. *
8 B. Please give the owners' phone number.
Your answer
9A. Are you a first time pet owner? *
9B. If No, do you have any other pet now?
9C. If yes, which animal do you have as a pet? Please mention Species, gender & spay status.
Your answer
10A. Will the new pet have human company for most part of the day? *
10 B. If no, for how many hours will the pet stay unattended?
Your answer
10 C. Will the pet be chained? *
10 D. The pet will stay *
10 E. Will the dog be taken for walks & exercised regularly? *
10 F. What arrangements will you make for the pet when you have to travel for a holiday or work related event? *
Your answer
10 G. In case you have to move to a new city or country along with your family, will your pet also move with you? *
11. In case of any adjustment issues, will you be open to receiving counselling support from the CARE team & work with your pet patiently? *
12.Convenient time for a call back from CARE *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service