Pets Are Worth Saving » Adoption Application

Adoption Application

Please fill in all areas. If the application is not complete, PAWS cannot consider you for one of our animals. We need to know you as well as we can.

Adoption Application

Your Name(required)
Street Address(required)
City, State, Zip(required)
Email(valid email required)
Home Phone(required)
Cell Phone
Best time to call (Central Time)
Employer
Can we call you at work?
Spouse's/Partner's Name
Number and ages of children
Have you carefully considered the financial cost of animal ownership and are you financially able to give your animal the routine medical care it requires?
Will you provide your animal with heart worm preventative?
If the animal has not been altered (sterilized), you will be required to have a veterinarian to do so when the animal reaches 6 months old.
Do you have a problem with altering the animal?
Explain:
Have you owned an animal in the past?
What happened to the pets you no longer own?
Have you ever owned a rescued animal?
Name of rescue you got the animal from
Phone number for the rescue
Do you currently own animals?
Type/breed/age of animals
Are your animals spayed/neutered?
Are your animals current on their shots?
What training have you given your animals?
Animal Information
Which animal are you interested in adopting?
Does everyone in the family agree about adopting the animal?
Who will be the primary caregiver and trainer of the animal?
Does anyone in the household have allergies to animals?
If so, which animals?
Do you plan to have your cat de-clawed?
Will you allow your dog to ride in the back of a truck?
Why do you want this pet?
If you selected "other", please explain.
Home Environment Information
Do you rent or own?
If you rent, can you furnish a notarized letter from your landlord granting you permission to have an animal on the property?
Is your yard fenced?
If not, will the animal be supervised at all times when outside?
Where will your new pet be kept during the day?
If "other", please explain.
Will there be anyone home during work hours?
If not, how many hours per day will the animal be left alone?
Where will the animal spend its time alone?
Do you travel frequently?
Will the animal travel with you?
If not, where will the animal stay while you are gone?
If you move, what will you do with your pet?
Veterinarian Information
Please provide the information for the veterinarian you plan to use for this animal.
Name
Street address
City, State, Zip
Phone
Have you used the above vet in the past?
If not, please provide information for a vet you have used in the past.
Name
Street address
City, State, Zip
Phone
References
Please provide the name, address, and phone number for at least 3 people (not related to you) who would recommend you as a good adoptive family for a rescued animal.
Reference #1 Name
Reference #1 Phone
Reference #2 Name
Reference #2 Phone
Reference #3 Name
Reference #3 Phone
Do you agree that the animal will be returned to PAWS if for any reason you are unable to keep it?
I certify that the information provided on this form is true and correct. I am also financially and physically able to care for this animal. I understand that proper food and veterinarian care can be costly and I am able to meet these requirements.
Agree
All applicants are subject to a home visit. Home visits are made on a random basis following or prior to adoption. If upon inspectin, PAWS find information in this application to be false, PAWS retains the right to turn down the adoption or remove the animal from your premises without a refund of moneys paid. PAWS reserves the right to refuse an application for whatever reason it deems fit.

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Adoption Application

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