PALS 
ADOPTION APPLICATION


NAME:  _____________________________________________________________

ADDRESS:  __________________________________________________________

PHONE: home: _____________   work: _________________  other: _____________

E-MAIL ADDRESS:  ___________________________________________________

Which animal are you interested in adopting? 
Name: ________________________________     ID#:  _________________________

How long have you been looking for a pet?  _____________

What attracted you to this pet?  _____________________________________________

Are you currently a student?   (   ) Yes       (   ) No

Are you a first time pet owner?   (   ) Yes       (   ) No 

How many adults are in the home?  ___________

How many children?  _______________

Please list the children’s ages:  ______________________________________________

Have the children been around pets?  _________________________________________

Is everyone in the home in agreement about this adoption?  _______________________

Where do you live? (circle one)     House      Condo      Apartment     other:  


Do you rent or own?  ____________________________

If you rent, please give landlord’s name and phone number:   ______________________

What is your pet deposit?  ________________     Pet rent?  ________________________

Is there a specific criterion for this rental property?  ______________________________ 
 ________________________________________________________________________ 

________________________________________________________________________

List the pets that are currently in your home: ______________________________ 
 ________________________________________________________________________ 

________________________________________________________________________

type/breed	  age	  m/f	   yrs owned	   neutered  	   current on vaccines?

________________________________________________________________________

Have these pets been around other pets?   (   ) Yes       (   ) No 

List the pets you have owned in the past 5 years that are not listed above:  

 ________________________________________________________________________ 

________________________________________________________________________

type/breed	age	m/f	yrs owned   neutered  reason no longer owned

________________________________________________________________________

Who is your vet?  _________________________________________________________

When was your last visit?  __________________________________________________

Who will be the primary caregiver of this pet?  __________________________________

Where will this pet be kept when you are home:  ________________________________

Where will this pet be kept when are NOT at home: ______________________________

Where will this pet sleep?  __________________________________________________

Where will this pet be kept? (please estimate percentage) 
INDOORS:  ___________    OUTDOORS:  ___________    

If you move, will you take this pet with you?   (   ) Yes       (   ) No
  
Have you ever relinquished a pet to a shelter?   (   ) Yes       (   ) No

If yes, why?   ____________________________________________________________

Are you prepared to care for this animal for the next 10-20 years?   (   ) Yes       (   ) No

Why do you want a new pet? (please check all that apply)  	
(   )  Companionship		
(   )  Companion for other pet		
(   )  Family member		
(   )  Mouser/Barn cat
(   )  Guard dog	
(   )  Hunting		
(   )  other:  ______________________________________________________________

To adopt a dog/puppy:
How will you housebreak your new dog?  ______________________________________

How will you correct playbiting?  ____________________________________________

How will you correct chewing behavior?  _____________________________________

How will you socialize your dog? ____________________________________________

Who will be training your dog?  _____________________________________________

Do you have a fenced yard?   (   ) Yes       (   ) No      If so, how tall?

How do you plan to exercise your dog?  ______________________________________

To adopt a cat/kitten:
How will you litter box train your new cat?  ___________________________________

How will you correct playbiting?  ____________________________________________

How will you socialize your cat?  ____________________________________________

How will you train your cat to claw appropriately?  ______________________________

Do you plan to declaw your cat?   (   ) Yes   (   ) No     
in the future?   (   ) Yes       (   ) No

How did you hear about PALS?  _____________________________________________

The information that I have provided is true and correct.  initials: ____________

Signature: ____________________________________________    Date:  ___________

THIS FORM BECOMES PROPERTY OF PALS UPON COMPLETION. 
PALS RESERVES THE RIGHT TO REFUSE ANY ADOPTION ON ANY GROUNDS. 
IF YOU WOULD LIKE TO DISCUSS THIS PROCESS, 
PLEASE CONTACT THE PRESIDENT OF PALS AT 816.678.2126.