Which animal(s) are you interested in?
Applicant's First Name *
Applicant's Last Name *
Street Address (include apartment/unit number if applicable) *
City *
State *
Zip Code *
Phone Number *
Please use the following format 248-555-1212
Alternate Phone Number
Email Address
Please enter correctly as this is the main way we will contact you
Is this animal for you or someone else? *
Myself
Someone else
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home. *
Is everyone in your household aware that you are planning to adopt an animal? *
No Yes
Please select your current residence type. *
House
Apartment
Condo
Townhouse
Mobile Home
Other
If you answered "other" above, please explain here: *
Do you own or rent your home? (If you live in a mobile home park with space rent, please choose Rent and provide landlord information) *
Own
Rent
Someone else owns the Home
Someone else rents the Home
If you are not the landlord/home owner, please provide their name and contact information as we will need landlord approval prior to adoption.
Do you own other pets at the current time? *
No Yes
Please list their names, breeds, and ages. *
Are all of your pets spayed/neutered/fixed? *
No Yes
If no, please explain why: *
Are your pets current on their vaccinations? *
No Yes
If no, please explain why: *
When you picture your kitty family member, what do you imagine? *
Lap Cat
Social Butterfly
Independent
Adventurous
Easy-Going
Cat Friendly
Dog Friendly
Active
Kid Friendly
Emotional Support
Are you open to a cat with any of the following? *
Older than 5 years
Older than 10 years
On a special diet
On medication
Needs an injection
FelV
Shy and may need multiple weeks to acclimate
Needs to work on their manners
None of the above
Have you ever turned your dog or cat into a shelter? *
No Yes
If yes, please explain:
Have you ever had a pet euthanized for reasons other than illness/old age? *
No Yes
If yes, please explain:
Please check the main reason you plan to adopt: *
Companion
Family Pet
Child's Pet Guard Dog
Companion for another pet
Other
If you answered "other" above, please explain here:
Please describe in detail the type of animal you are looking for. *
Have you applied anywhere else for a pet within the last 6 months?
No Yes
If yes, where else have you applied for an animal?
Will this animal be predominantly living inside, outside, or both? *
Inside
Outside
Both
Please provide a description of this animal's living conditions. *
How will you handle destructive behavior? *
For what reason(s) would you consider returning/giving up the animal? *
What would you do with the animal if you had to move? *
Take him / her with me
Give to family or friend
Return to shelter
Other
If you answered "other" above, please explain:
What will you do with the animal when you go on vacation? *
Leave with family/friend
Boarding
Pet sitter
Take with me/us
Other
If you answered "other" above, please explain:
What arrangements will you make for the care of the animal in case of an emergency? *
Leave with family/friend
Boarding
Pet Sitter
Take with me/us
Other
If you answered "other" above, please explain:
Have you ever been convicted of abuse or neglect of a child or animal? *
No Yes
If yes, please explain:
What is your preferred method of contact? *
Phone
Email
Text
How did you find out about us?
Petfinder
Internet Search
Family/Friend
Staff/Volunteer
Facebook/Twitter
Other
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I understand that anything submitted in this application found to be untrue will result in the forfeiture of any PAWS of Grays Harbor animal adopted or fostered by me. I understand that PAWS of Grays Harbor may verify any or all information submitted in this application from Landlords, Property Companies and/or Veterinarians before approval may be given. I understand that this application does not ensure I will be approved. *
No Yes
Signature *
Clear