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.

*