PACA Dog Adoption Application

PACA Dog Adoption Application

To be considered for an adoption, you must meet the following requirements: 1. Be at least 18 years of age. 2. Have legal identification with current address. 3. Be able to verify that you can have pets where you live. 4. Be financially able to provide for the animal’s needs, including medical care when needed. NOTE: This is an adoption, not a sale. PACA/AAR has the right to refuse any person at any time. PLEASE MAKE SURE TO CLICK SUBMIT AFTER COMPLETING THIS FORM.
Name

First NameLast Name
E-mail (Please add PACADOGS@AOL.COM to your contacts)

Confirmation Emailexample@example.com
Phone Number (CELL NUMBER IS BEST AS WE MAY TEXT YOU)

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Dog(s) Desired:
Dog or Puppy?
What attracted you to this dog?
This dog is for:
Type of dog desired:
Type of housing:
Do you rent or own your housing?
How long have you lived at this location?
Name and phone of landlord if renting
If renting, will you provide written permission from the landlord to have this dog?
Occupation of self and/or partner
Employer
How long have you been employed here?
Pets currently living in your home
Pet #1 - Type of Pet
Pet #1 if a dog what breed(s)?
Is pet #1 spayed or neutered
Pet #1 Age
Pet #1 Male or Female?
Pet #1 Energy Level
Pet #2 Type of Pet
If Pet #2 is a dog, what breed?
Pet #2 Male or Female?
Pet #2 Age
Is Pet #2 Spayed or Neutered
Pet #2 Energy Level
Please list any other pets
Where do your pets stay at night?
Where do your pets stay during the day?
Do you have free roaming poultry or livestock?
List pets you have owned in the past that are no longer living with you
Please list this information about Pet #1 (no longer living with you): Cat or Dog, Breed if Dog, How long you had pet, what happened to the pet?
Please list this information about Pet #2 (no longer living with you) : Cat or Dog, Breed if Dog, How long you had pet, what happened to the pet?
Please list any other pets in the past five years that are no longer living with you and why.
Do you have a fenced or walled yard?
Type of Fence
How tall is your fence or wall?
Do you have a doggy door?
How many hours a day will the dog be left alone?
Where will the dog stay when left alone?
How will the dog be confined to your property?

Other
Do you have a pool?
If you have a pool, how is it secured from pets?
Are you aware your new pet may need house training and/or other training in their new home?
How will you exercise your new dog?
Do you plan to take your new dog to obedience classes?
Are you aware pets need yearly vaccinations and may require other veterinary care from time to time?
Name and phone of your veterinarian
Do any of your pets ride in an open pick-up truck bed?
Under what circumstances would you NOT keep this pet?

Other
Number of Adults in Household?
How many minors live in the household? What are their ages?
Would you be willing to allow a PACA/AAR representative to do a home visit prior to adoption or any time after adoption?
Animals going to a new home will need time to adjust to their new surroundings. Please realize it will take about 2 weeks for a new pet to start accepting everyone, especially another pet(s).
Do you understand that pet ownership is a lifetime commitment to provide care (including veterinary care) and a permanent, safe home for the life of your new pet?
Puppy Adoption Requirements:

If I am applying for a puppy, I understand that a puppy will require vaccinations and spay/ neuter BEFORE the final adoption is approved by PACA. Until the adoption is finalized via signing of the adoption contract by a PACA representative, the puppy will remain property of PACA. If I fail to get the required vaccinations or spay/neuter performed at the vet of PACA's choice, or pay for these procedures at a vet of my choosing and supply PACA with required paperwork, I agree and acknowledge that PACA may reclaim their puppy. My signature below states I have read and agree to the puppy adoption requirements.
PLEASE MAKE SURE TO CLICK "SUBMIT" BELOW THE SIGNATURE BLOCK
Date

MonthDayYear
Date
No warranty or representation of any kind is made by PACA/AAR as to the health, disposition, or suitability of this dog as a domestic animal or, specifically as to any hazard it may present to known or unknown adults, children, or other animals or property. Should any dog on a trial period or adopted from PACA/AAR create a hazard to persons or property or cause injury to either, Applicant or Adopter agrees to hold blameless PACA/AAR, its agents, board of directors, staff, volunteers, representatives, heirs and assigns, in perpetuity. I certify the answers to this questionnaire to be true and that any false information may result in nullifying the adoption. Sign here
Two week trial period commencing on (date) blanks .
Should be Empty:

PACA Dog Adoption Application

Pets currently living in your home

List pets you have owned in the past that are no longer living with you

Animals going to a new home will need time to adjust to their new surroundings. Please realize it will take about 2 weeks for a new pet to start accepting everyone, especially another pet(s).

Puppy Adoption Requirements:

PLEASE MAKE SURE TO CLICK "SUBMIT" BELOW THE SIGNATURE BLOCK