Paws and Hands United Adoption Application

In order to be considered to adopt a pet, you must:

« Be 18 years of age or older;

« If you are below 18 years, a parent or legal guardian should fill in the form;

« Have the knowledge and consent of your landlord if you currently rent;

« Have identification (of the same person who is filling out the form) showing your present address for verification purposes only;

« Be able and willing to provide a loving, safe and peaceful environment for the pet;

« Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for the pet.

Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email

example@example.com

Phone Number

Area Code Phone Number

Do you rent or own your home?

Own Rent

If you rent, does your landlord allow pets? Please provide landlord name and phone number.

What type of home do you live in?

Home Apartment Other

Which pet would you like to adopt?

Please explain why you want to adopt this pet...

Do you have experience with this type of pet?

Do you currently have any other pets? Please list breed, age, and sex of current pets.

Do you have a fenced in yard?

Yes No

If you do not have a fence how do you plan on exercising this pet?

How many hours will your pet spend alone?

Describe the activity level in your home.

How many people live in your home? Please list each person and their age.

CAT ADOPTERS ONLY

You agree never to declaw this cat. You agree
that declawing consists of amputating not just the claws, but the whole phalanx
(up to the joint), including bones, ligaments, and tendons! Declawing is not a
“simple”, single surgery but 10 separate, painful amputations of the third phalanx
up to the last joint of each toe. You agree declawing can cause serious physical,
psychological and behavioral complications. You understand that scratching is
normal cat behavior and you will provide scratching pads and keep their nails.

Do you agree to never declaw your adopted cat/kitten?

Yes No

Do you have a veterinarian?

Yes No

If yes, please list your Veterinarian's name, office address, and phone number

Are you prepared to care for any medical needs that may arise with your pet?

Yes No

Are you fully prepared to care for a pet for the entirety of it's life?

Yes No

Should you become unable to care for your pet, what provisions will be made for the care of your pet?

We ask that should a family member or close friend not be able to care for your pet that the pet be returned to Paws and Hands United Inc.

Please list two references that we may contact.

Agreements of Approved Adoption

I agree that the animal(s) is (are) being adopted for myself and will not be sold, adopted, or given to another party.

I agree that the animal(s) that is (are) adopted will not be used for commercial or breeding purposes and I agree to sterilize the animal(s) if it (they) is (are) not sterilized at point of adoption. Adopter will also sign a spay/neuter contract agreeing to the sterilization of the pet should it not be old ebnough for sterilization at the time of adoption. If sterilization is not completed Paws and Hands United Inc. reserves the right to confiscate the pet from the adopter.

I agree that the animal will not be allowed outdoors without proper supervision.

I agree to care for the animal in a humane manner and be a responsible animal guardian. This includes supplying adequate food, water, shelter, attention, and medical care.

I agree that if at any point I can not keep the animal, I will return him/her to Paws and Hands United Inc. without requesting a fee.

I understand and agree that the current fosterer makes no guarantees about the animal's temperament and is not responsible for future damages or injuries caused by the animal.

I give the current rescuer/fosterer permission to call my home at any reasonable time to assure that the animal is being properly treated and cared for.

I agree that all statements I have made on this form are true. If it is found that any statements I have made on this form are not true the adopted animal can be confiscated.

Do you agree fully to the above statements?

Yes No

I understand that animals may be unpredictable and Paws and Hands United Inc. cannot guarantee nor warrant that an animal being adopted may not become aggressive.

I understand that animals can be destructive and may cause damage to property.

I willingly accept that risk and will not seek reimbursement or legal action against Paws and Hands United Inc. for any damage.

This contract releases Paws and Hands United Inc. from any and all liabilities.

IMPORTANT: THIS DOCUMENT RELEIVES PAWS AND HANDS UNITED INC., ITS BOARD OF DIRECTORS AND

VOLUNTEERS OR ANYONE ACTING ON BEHALF OF PAWS ANDHANDS UNITED INC. FROM LIABILITY RESULTING FROM PERSONAL INJURY, WRONGFUL DEATH AND PROPERTY DAMAGE CAUSED BY THIS ANIMAL.

I have read this document, understand it and sign voluntarily.

Name of Adopter

First Name Last Name

Date of Application

Date Date Picker Icon