Pet Friends Dog Adoption Application

Dog Adoption Application

Minimum Donation: $200
IN ORDER TO BE CONSIDERED AS AN ADOPTER, YOU MUST:
- Have identification showing your present address and proof of age (21 or older)
- Have the knowledge and consent of your landlord, if applicable
- Be able and willing to spend the time and money necessary to provide training, routine medical care, (i.e., yearly office visits and vaccinations, $90-$200 minimum), and proper nutrition and exercise for a pet.
- Agree to have a Pet Friends representative call your current veterinarian (listed below), and give your permission for the vet to talk with us regarding the health care of your other pets.
- Agree to a home visit.
- Agree to our spay and neuter requirements.
- Complete an Adoption Application and sign our Adoption Contract
- Agree to a six-month follow-up home visit.
- Understand that there will always be an adjustment period for any dog coming into a new home. The average is 3 weeks to 3 months.
Please allow 3-5 working days for Pet Friends, Inc. to make a decision about your request to adopt. If the adoption is APPROVED, you will be contacted within this time period.
- Pet Friends does not allow for same day adoption
- We only adopt to homes within 75 miles of zip code 15642.
How did you hear of Pet Friends? *
PetFinder, Adopt-a-Pet, Facebook, Volunteer, etc.
Your name *
First & Last Name
Your Address *

Street Address

Street Address Line 2

City State

Zip Code
Your Email
Newsletter

Yes, subscribe me to Pet Friends monthly e-newsletter.
Phone Number *

Area Code Phone Number
Alternate Phone Number

Area Code Phone Number
Are you at least 21 years old? *
What kind of pet are you interested in adopting? *

Dog Puppy
Is there a specific dog you are interested in? *
This pet will be a:

House Pet Watch Dog Companion Company for Other Pet
This pet is for: *
Do you have any preference as to breed type, sex, age, size as an adult, length of hair, etc.? *

Yes No
If yes, what are your preferences?
Is this your first experience with a pet? *

Yes No
If no, what pets have you had in the past?
What happened to the pets you no longer have? *
How many other pets do you currently have in your household? Please list below. *
What type of pets are currently in the household (dog, cat, etc)?
Are all of your current dogs or cats spayed or neutered?
Have you ever adopted a pet from a shelter? *

Yes No
If yes, what kind and what shelter?
Have you ever surrendered (gave up) an animal to a shelter/rescue/animal control agency/private individual? *
If yes, for what reason?
Who is your veterinarian? (Please list all vets used for pets you currently have and pets you no longer have)
Name and Phone Numbers
If you do not currently have a veterinarian, whom do you plan to use?
Do you have any objections to our calling your veterinarian for verification
Under what LAST NAME is your pet registered at your veterinarian's office?
Can you provide vet care as required by state law for unexpected accidents/health problems? *

Yes No
What describes your house on an average day? *

Active Noisy Average Quiet
Do you currently live in a: *

House Apartment Townhouse Mobile Home Duplex
Do you rent or own? *

Rent (or lease space in a mobile home park) Own
If you rent, you must give the person you are adopting from a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have this type of animal, showing any limitations.

If you rent or lease, please fill out the following information:
What is your landlord's name and phone number?
Are you willing to provide written knowledge and consent of landlord?
How long have you lived at the above address? *
How many people live in your household? *
Do all of the adults agree to adopt a pet? *

Yes No
If there are children in the household, what are their ages?
Do you or does anyone living in your household have any known allergies to animals? *

Yes No
If “yes”: to what kinds(s) of animals and how severe is the allergy?
Who will be primarily responsible for the care of this pet? *
Where will this pet be kept during the day? *
Where will this pet be kept during the night? *
How many hours per day will the pet spend alone without human companionship? *
Where will the pet be kept when alone? *
How do you plan to keep the dog confined to your property when outside (e.g. fenced yard, trolley run, tie-out)? *
Which of the following are you familiar with?
Leash & licensing laws in your community? *
How many pets you may have according to community ordinances? *
Heartworm disease and the preventative medicines for it? *
Yearly vaccinations that dogs/puppies are required to have? *
Are you willing to comply with all laws and ordinances regarding pets? *

Yes No
Do you have the time and patience to housetrain your new puppy or dog, and/or to correct, by training, destructive behavior such as chewing household objects or clothing? *

Yes No
Are you prepared to provide adequate daily exercise (such as walks on leash or play time off leash), mental stimulation (such as training and toys), and ample opportunities for your pet to go outside to relieve itself? *

Yes No
Are you financially able to provide food, routine veterinary care and preventive vaccinations/medications? *

Yes No
Would you like information on any of the following? *

Housetraining Crate Training Obedience Classes Vaccinations Heartworm Disease Parasites
Please provide two personal references

Please list two people who are NOT related to you that you have known for at least two years
Reference #1
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email
example@example.com
Relationship
Reference #2
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email
example@example.com
Relationship
Pet Friends may require a home visit before adoption. Do you approve of a home visit,? *

Yes No
Do you have any additional comments, questions or concerns? *
Pet Friends, Inc. reserves the right to refuse adoption to anyone who cannot provide a healthy and safe environment for theanimal in accordance with Pennsylvania animal ordinances and laws. No animal will be adopted to prospective owners whomislead or fail to provide accurate information on this adoption application. Pet Friends, Inc. reserves the right to shareapplicant information with other rescue groups and animal welfare agencies.

I understand the above, and have tried to the best of my knowledge to make sure all information is correct.
It takes time to review all applications received.
Please allow 3-5 working days for Pet Friends, Inc. to make a decision about your request to adopt. If the adoption is APPROVED, you will be contacted within this time period.
Adopter's Signature *
Signature date *
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Dog Adoption Application

If you rent or lease, please fill out the following information:

Please provide two personal references