• Must be 21 years or older with identification showing present address.
• Must have the knowledge and consent of all adults living in the household.
• Renters must show proof of pet deposit and lease allowing pets if renting.
• Must be able and willing to spend the time and money necessary to provide training, medical treatment and responsible care for a pet.

Name of Pet:

Applicant:

Address:

(includes city/

state/zip)

Date of Birth:

Phone:

Mobile Phone:

Email:

Have you owned a pet before?

Have you adopted from a rescue organization before?

If yes, name of rescue group:

Have  you purchased from a breeder or from a pet store?

Have you ever surrendered an animal up for adoption before or re-homed a pet?

Number of  dogs living in your home:

Number of cats living in your home:

No. of Males:

No. of Females:

No. of Males:

No. of Females:

Breeds:

Are any of your pets unsterilized?

If so, explain:

Approximate weights:

Do all of your current pets have collars with ID tags?

Are your pets microchipped?

Are all dogs current on their shots?

Are all dogs on heartworm preventative?

Are all dogs on flea/tick prevention medication?

Are all cats current on their shots?

Are they allowed outside?

Do you want to breed puppies or kittens?

Do you want your pet spayed or neutered?

Number of dogs over last 10 years (including current):

Number of cats over last 10 years (including current):

Number of pets:

Deceased:

Lost:

Given Away:

Sold:

Other:

Have any of your current pets had medical problems in last 6 months?

Have any of your current pets had medical problems in last 12 months?

Description of medical problem(s):

Have any of your current or former pets had behavioral problems?

What were the behavioral problems?

How were the problems addressed?

Have you used a trainer before?

Would you seek help from a trainer if the pet you want to adopt develops a behavioral problem?

Anyone with allergies to pets in household?

Will the owner be a student?

Do you travel frequently?

If so, who cares for pet while you are away?

Number of children in household?

Ages:

Number of adults in household?

Do all adults support decision to adopt this pet?

Do you have a current veterinarian?

Vet Name?

Vet Phone Number?

Do we have permission to contact your vet?

The pet will be living in:

This home is:

If rented, can you provide written permission from your landlord along with proof of deposit paid:

Landlord name:

Landlord phone number:

Name of Complex:

Any weight/size restrictions:

Are you prepared for and willing to accept the expenses of yearly booster shots and proper care for possibly 10-20 years?

When will the pet be inside:

When will the pet be outside:

Does the home have a fenced yard:

What is the height of the fence:

Fence type:

If other, what is it?

How long have you lived at this address?

Do you plan to move soon?

Who will care for your pet(s) in the event of your death?

Relationship:

Phone:

How did you hear about Paws in the City?

Will you allow Paws in the City to  conduct a home visit?

Can we add you to our email newsletter?

Paws in the City reserves the right to deny any application based on the best interests of the animal.

Paws in the City requests a donation of $200 (dogs), $250 (puppies under 6 mos.) or $125 (cats) to defray medical and boarding costs, and to further our mission to save more animals from euthanasia.  If you cannot afford such a donation, it is probably not a good idea to take on the financial responsibilities of pet ownership.

Applicant Signature:

Date:

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Adoption Application

Click here for more information on benefits and responsibilities involved in adopting a pet from Paws in the City