PAW PRINTS ANIMAL RESCUE Adoption Application

Type(s) of animal you are interested in adopting *

Specific animal(s) you are interested in adopting

Title *

Applicant's First Name *

Applicant's Last Name *

Co-Applicant's (if any) First Name

Co-Applicant's (if any) Last Name

Street Address *

Apartment/Unit Number (if applicable)

City *

State *

Zip Code *

Phone Number *

Alternate Phone Number

Email Address *

Alternate Email Address

Have you applied anywhere else for a pet? *

If yes, where else have you applied for a pet?

Have you ever adopted a pet from a rescue group or shelter? *

If yes, which group or shelter?

Is this pet for you or someone else? *

Do you own pets at the current time? *

List first pet's name as it appears on its vet record.

List first pet's species.

Is first pet spayed/neutered?

Is first pet current on its vaccinations?

Where does first pet live?

List second pet's name as it appears on its vet record.

List second pet's species.

Is second pet spayed/neutered?

Is second pet current on its vaccines?

Where does second pet live?

How many pets have you owned in the last 5 years? *

What happened to them?

Have you ever turned your dog or cat into a shelter? *

If yes, please explain?

Veterinarian's Name

Veterinarian's Phone Number

Do you own or rent your home? *

Please select your current residence type. *

If you answered "other" above, please explain here.

If you rent, does your landlord and lease allow pets?

Including yourself, how many people live in your household? *

Please list the ages and relationship of those who live in your home.

Is everyone in your household aware that you are planning to adopt a pet? *

Does anyone in your household have allergies to dogs/cats? *

Please check the reasons you plan to adopt a pet. *

If you answered "other" above, please explain here.

On average, how many hours per day will your pet be left alone? *

How much do you think the annual cost of having this pet will be? *

Will this pet live indoors, outdoors, or both? *

Where will the animal sleep? *

If you answered "other" above, please explain.

How will you handle introductions to other pets (if any)?

How will you handle undesirable or destructive behavior? *

If you are adopting a cat or kitten, do you plan to declaw it?

If you are adopting a dog or puppy, do you have a fenced-in yard?

If you are adopting a dog or puppy and don't have a fenced yard, how will you let the animal out and provide exercise?

If you are adopting a dog or puppy, are there times when the animal will be tied/chained up?

Pets can live many years. If your pet(s) were to survive you, what would happen to them? *

For what reason(s) would you consider returning/giving up the animal? *

If you answered "other" above, please explain.

Would you have any objections to a Paw Prints volunteer visiting your home prior to or after adoption? *

Additional information you would like to provide?

I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. *