USA Adoption Application

What is the name of the Mission Paws'ible rescued dog you are interested in? If you do not have a preference please state 'No Name'

Name*

First NameLast Name

Date of Birth*

Date

Phone Number / What's App*

Area CodePhone Number

Nationality*

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Google Map Reference of your Home. Put NA if Not Applicable*

Facebook Handle. Put NA if Not Applicable*

Instagram Handle. Put NA if Not Applicable*

Do you have 100% approval from your family / partner / housemate / landlord?*

YesNo

If you answered NO to the above question then please stop filling in this form and discuss with the people you live with. They ALL must agree to the pet joining the household. Once you have their approval you can proceed with the application.

Housing Type*

Private HouseApartment / FlatOther

Do you have a fully fenced yard? Strictly no cages, no chains and no free roaming*

YesNo

If you rent, do you have permission from your landlord(s)?*

YesNo

Health Disclaimer: We do not guarantee the health of any animals offered for adoption however we will be very honest about any pre-existing illness' and supply their digital medical files at time of adoption.

Any time you adopt an animal, you should take it to a licensed veterinarian for a full check up. Your animal is, to the best of our knowledge, healthy. Please be aware that the animals available for adoption are rescue animals and, as such, have often been exposed to a variety of diseases. However we have done our best to give them the best treatment possible since their rescue. However some illness' can have an incubation period of up to several weeks. If the animal you adopt shows signs of illness at any point, you must take it promptly to your veterinarian for treatment and notify Mission Paws'ible USA.

All our animals have a two week trial period. If the animal is suffering a pre-existing illness that appears during this time Mission Paws'ible will cover the cost. However, if for any other reason the animal needs medical attention due to a new exposure or injury, this is a cost to the adopter.

Do you any other pets? If so, please list breed, age and gender. *

Are your pets sterilised?*

YesNo

Are you pets fully vaccinated?*

YesNo

Please list date(s) of last vaccination(s)*

How did you hear about us?*

Do you have any questions for us?

ADOPTION APPLICATION USA

ABOUT YOU

HOUSING

ABOUT YOUR OTHER PETS (IF APPLICABLE)

Other

Thank You!