Adoption Application

	Adoption Application

Our goal is to make the right match between pet and adopter. We seek to place animals in loving homes with people who make lifelong commitments to their pets.

To be considered as an adopter, you must:

Be 18 years old or older
Have identification showing your present address
Have the written consent of your landlord
Be willing to spend the time and money necessary to provide training, medical treatment, and proper care for a pet

Fill out the form below.

Name

Address

City State Zip

Day Phone - Evening Phone -
Email

Name of Pet you are interested in:

How did you find out about us?

How long have you been at your current address? years

Do you rent or own your home? Rent Own

If you rent, does your lease allow pets? Yes No

If you rent, you must provide the written consent of your landlord along with your

landlord's phone number

Do you have a fenced yard? Yes No

Type of fence

Height of fence feet

How many people live in your household? Adults

Children

Ages of Children

Is anyone home during the day? Yes No

Is this your first experience with a pet? Yes No

Do you currently own other pets? Yes No

If yes, are their vaccinations up-to-date? Yes No

Please list your Pets:

Species Sex Altered Age

Male Female Yes No

If not altered, please explain why.

How many dogs or cats have you owned in the past five years?
Dogs Cats

If you no longer have a pet, please, briefly, explain why:

How much time will this pet spend alone per day?	Hours
Where will the pet stay when alone?
Do you require a cat to be declawed?	Yes, No
What do you consider a reasonable amount of time to allow the pet to adjust to your home?

In case you experience a life change (e.g., a move, a divorce, a new baby), how will this affect the adopted animal?

Do you understand that adopting a pet is a commitment for the animal's entire lifetime? Yes, No

Are you willing to accept that responsibility? Yes, No

To keep this commitment, are you willing to work with a trainer or behaviorist to solve any behavioral problems that may develop? Yes, No

May we visit your home? Yes, No

Personal Reference:
Name Phone

If you adopt an animal from PAWS for Life, will you agree to the following:

To keep the adopted pet current on health check-ups and vaccinations? Yes, No

Agree not to tie or chain the pet as a primary means of confinement? Yes, No

Disclaimer

Applications for pet adoptions are subject to acceptance based on a review process that may require collecting information from references. PAWS for Life, Inc. reserves the right to make all decisions regarding final disposition of any rescued animal in its care. There is absolutely no guarantee made or implied that any person, or persons, requesting to adopt a PAWS for Life pet will be granted an adoption!

I have read and understand the above disclaimer Yes, No

I agree that submitting this form shall be taken as a legal substitute for my signature. Yes, No

How long have you been at your current address?		years
Do you rent or own your home?	Rent	Own
If you rent, does your lease allow pets?	Yes	No
If you rent, you must provide the written consent of your landlord along with your
landlord's phone number
Do you have a fenced yard?	Yes	No
Type of fence
Height of fence		feet
How many people live in your household?		Adults
		Children
Ages of Children
Is anyone home during the day?	Yes	No
Is this your first experience with a pet?	Yes	No
Do you currently own other pets?	Yes	No
If yes, are their vaccinations up-to-date?	Yes	No
Please list your Pets:

Do you understand that adopting a pet is a commitment for the animal's entire lifetime?	Yes, No
Are you willing to accept that responsibility?	Yes, No
To keep this commitment, are you willing to work with a trainer or behaviorist to solve any behavioral problems that may develop?	Yes, No
May we visit your home?	Yes, No

To keep the adopted pet current on health check-ups and vaccinations?	Yes, No
Agree not to tie or chain the pet as a primary means of confinement?	Yes, No