PAW PRINTS ANIMAL RESCUE Adoption Application

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 * 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
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 If you have never owned a pet please tell us where you would go.
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? * Include food, treats, toys, veterinary care, parasite control, etc.
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. *