PETPROMISE ADOPTION APPLICATION

This application is intended to be a guide to help you think about all of the ways that a new cat or dog will impact your life. All of the questions concern various aspects of pet ownership that should be given serious consideration before deciding to share your life with any dog or cat.

Which pet would you like to adopt and why?*

Name*

Age*

Address*

Address

Street Address Line 2

City, State and Zip

Phone Number*

Please enter a valid phone number.

E mail Address*

Does your Lease/Homeowner’s Association restrict the ownership of pets? *

Do you rent or own your home?*

Names and ages of other people living in the home.*

Please list all pets (including type, age and length of ownership) living in your home.*

Is your yard fenced?*

Please provide the names and telephone numbers of three (3) references INCLUDING your veterinarian/past veterinarian, and landlord (if applicable)*

Current or Former Veterinarian

Landlord (if applicable) or Personal Reference

Personal Reference (not related and not living with you)

Are you prepared to make a commitment to care for this dog/cat for the next 10-15 (in the case of a dog) or 18-20 (in the case of a cat) years?*

Are you prepared to commit to find a home where you can keep this dog/cat if/when you move for the next 10-20 years? *

Are you financially prepared to deal with the cost of both routine (vaccinations, annual examination, dental cleanings, heartworm treatment, etc) and non-routine/emergency veterinary care of this dog/cat?*

Where are you employed?*

Approximately how many hours a day will your dog/cat be alone?*

Where will the pet spend the day?*

Where will your dog/cat sleep? *

Who will have primary responsibility for the care of the dog/cat? *

If you are considering adopting a cat, do you intend to declaw him/her? *

What is your m plan for integrating your pet with your current pet(s)/household? *

What pets have you had in the past? (Please list type of animal, how long owned and what happened to the pet)*

All the information that I have provided above is true and complete to the best of my knowledge. Should a dog or cat be placed with me, it will reside in my home as an indoor pet. I agree to provide the dog/cat with adequate food, water, shelter, affection and medical care. Signed by (full Name of Adopter)*

Thank you for taking the time to complete this application. We are an all-volunteer organization and will do our best to review and respond to your application as quickly as possible.