Hands to Paws Adoption Application

What species are you looking to adopt? *
Is there a specific animal in our rescue you are looking to adopt? *
Animal you are interested in adopting
Please describe in detail the type of pet you are looking for. *
Applicant's First Name *
Applicant's Last Name *
Street Address *
Apartment Number (if applicable)
City *
State *
Zip Code *
Home Phone Number * Please use the following format 248-555-1212
Cell 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
Date of Birth *
Driver's License Number *
Driver's License State *
How did you find out about us?
Have you applied anywhere else for a pet?
Where else have you applied for a pet?
Is this pet for you or someone else? *
Reason for applying on behalf of someone else *
Do you own other pets at the current time? *
Are your pets current on their vaccinations? *
List their names, breeds, and ages. *
Are all of your pets spayed/neutered/fixed? *
Why are your other pets not altered?
How many pets have you owned in the last 5-10 years? *
What happened to them? Select as many as needed. *
Provide an explanation if you selected that the animal died, was lost, was given away, or other. *
Were any of your pets obedience trained?
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
Have you ever had a pet euthanized? *
Please explain: *
Have you ever declawed a cat? *
Pets should be spayed / neutered. *
Do you plan on declawing your new cat(s)? *
Are you familiar with heartworm and heartworm prevention?
How will your current pets adjust to a new pet in the house?
Please check the main reason you plan to adopt a pet: *
Explain why you chose "Other".
Do you own or rent your home? *
Does your landlord and lease allow pets? *
Please select your current residence type. *
Explain why you chose "Other". *
How long have you lived at this address? *
Including yourself, how many people live in your household? *
List the ages & 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 or asthma? *
Please explain the allergies or asthma. *
Employment Status *
If you chose "Other" for Employment, explain.
What is your current occupation? *
On average, how many hours per day will your pet be left alone? *
How much do you think the annual medical bills will be for your pet? *
What would you do if the bills went over this amount? *
Will this pet be predominantly living inside, outside, or both? *
Please provide a description of your new pet's living conditions. *
What type of fence do you have? *
Explain why you chose "Other".
If you do not have a fenced yard, how will you let the animal out? *
Are there times when the animal will be tied/chained up? *
When will they be tied/chained up?
Where will the animal sleep? *
Explain why you chose "Other". *
Will the animal spend any time in a garage? *
When would the animal be in a garage? *
Do you have a pool? *
Is there a fence around the pool? *
What kind of fence do you have around your pool? *
Explain why you chose "Other". *
How will you handle housebreaking/litter box training?
How will you handle destructive behavior?
Will you keep the animal up-to-date on vaccinations (cats and dogs) and heartworm preventative (dogs)? *
Explain why you chose "No". *
Are you willing and able to exercise the dog on a regular basis? *
What is the method of exercise?
Explain why you chose "Other".
Have you ever been convicted of abuse or neglect of a child or animal? *
Explain: *
Do you drive a truck? *
Would you allow the animal to ride in the back/bed? *
What arrangements will you make for the care of your pets in case of an emergency? *
Explain why you chose "Other". *
What will you do with the animal when you go on vacation? *
Explain why you chose "Other". *
For what reason(s) would you consider returning/giving up the animal? *
What would you do with your animal if you had to move? *
Explain why you chose "Other". *
Are you willing to take responsibility for this animal for the next 10-20 years? *
Explain why you chose "No". *
Will you allow us to perform a home check before adoption? *
Are you or anyone in your house military? *
Are you subject to transfer or deployment? *
Explain what would happen to your new pet if you were transferred or deployed. *
Provide contact information for two non-family references *
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. I am also aware that we cannot guarantee the health and temperament of the animal. *