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? ______________________________
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List the pets that are currently in your home: ______________________________
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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: ____________
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type/breed age m/f yrs owned neutered reason no longer owned
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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. |