House of Paws - Adoption Application

Animal you are interested in adopting
Applicant's First Name
Applicant's Last Name
Street Address
City
State
Apartment Number (if applicable)
Zip Code
Phone Number Please use the following format 248-555-1212
Email Address Please enter correctly as this is the main way we will contact you
Alternate Phone Number
How did you find out about us?
Is this pet for you or someone else?
Do you own other pets at the current time?
Are all of your pets spayed/neutered/fixed?
Veterinarian's Name If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Zip Code Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
If you have pets, will they adjust to a new pet in the house?
Please check the main reason you plan to adopt a pet:
If you answered "other" above, please explain here:
Please describe in detail the pet you are looking for.
Do you own or rent your home?
If you rent, does your landlord and lease allow pets?
Is everyone in your household aware that you are planning to adopt a pet?
Does anyone in your household have allergies to dogs/cats?
How will you handle destructive behavior?
Will you keep the animal up-to-date on vaccinations and heartworm preventative?
If no, please explain:
Are you willing to take responsibility for this animal for the next 10-20 years?
If no, please explain:
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.
Signature *
Date