Adoption/Foster Application
Applicant Information
Name
*
First Name
Last Name
Age
*
Occupation
Phone Number
*
Please enter a valid phone number.
Additional Phone Number
Please enter a valid phone number.
Email
By providing your email, you agree to receive emails from Animal Protectors.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
Are you interested in a specific animal?
Yes
No
Name of Dog
Name of Cat
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Address
How long have you lived at your current address?
*
Do You:
*
Please Select
Own
Rent
Live in someone else's house
Landlord's Name and Phone Number
Relationship to Homeowner
Please list all of the people living in your household with their age and relationship to you:
*
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Next
Current Pets
Animals currently live/have lived in my home in the past three years.
*
Yes
No
List all animals who have lived in your home in the past three years or more.
*
Name
Dog/Cat
Breed
Spayed/Neutered
Still With You; if not, why?
Shots Up to Date
Animal 1
Animal 2
Animal 3
Animal 4
Animal 5
Current Veterinarian's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Name of Person Animals are Listed Under
*
First Name
Last Name
Please call ahead and give your vet permission to release records to APAV.
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Next
Adoption Information
Have you adopted from Animal Protectors in the past?
*
Yes
No
Please Indicate If You Have Questions About:
Pet Allergies
Crate Training
Housebreaking
Spay/Neuter resources for other pets
Introducing new pets to current pets
Introducing pets to children
Alternatives to declawing
Litterbox training
Dog or Cat behavior
Other
What will you do if you are no longer able to care for the animal for any reason?
*
Describe your typical schedule outside of the home and how long the animal will be left alone each day:
*
What species are you interested in adopting?
*
Cat
Dog
Either
Where will this cat be kept?
*
Indoors
Outdoors
Both
Where will this dog be kept?
*
Inside
Outside
Both
Where will this dog be exercised?
*
Yard
Walks in Neighborhood/Abroad
Park
Is your yard fenced?
*
Yes
No
What is the height of your fence?
How much time are you willing to spend helping an animal adjust to your home?
*
Are you committed to caring for any future medical needs of this animal, including regular check-ups and vaccinations?
*
Yes
No
Signature
Animal Protectors will always put the needs of the animals first, and seeks to find the best home for each of our animals. We reserve the right to refuse any application. By signing below, I confirm that all information in this application is true. I give my permission to Animal Protectors of Allegheny Valley to confirm the following information: address, criminal convictions or guilty pleas related to crimes against animals or children (Unified JudicialSystem Portal), permission from property owner to house a pet, and proper veterinary of care for current or past pets.
*
Submit
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