Rescue Adoption Application

Police4Pets Adoption Application
Police4Pets Rescue is a non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. Police4Pets is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive medical care, which includes worming, vaccinations, spaying/neutering and microchipping prior to their adoption. If a pet is still waiting on a vet appointment we will consider them pre-adoption.
This questionnaire is designed to help Police4Pets and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Police4Pets reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions! We also require a home visit to make sure each pet is going to the right home.
Applicant Information
Name of the animal you are interested in:*
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:

Area CodePhone Number
Work Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-mail:
Employer:
Character reference and phone number:
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Does your landlord allow pets?

YesNoYes with limitations
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fully fenced yard?*

YesNo
Height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs, cats, ect or have asthma?*

YesNo
Current/Previous Pet Information
How many of pets do you have? Are they spayed/neutered?
Where are these animals now?
Have you adopted from an animal welfare group before?

YesNo
If yes, what group?
Have you ever given up a pet?

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Are you aware of crate training?*

YesNo
Have you ever house-broken a dog or puppy before or litter box trained a kitten?*

YesNo
If the pet has an "accident" in your home, what type of correction do you plan to use, if any at all?*
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise your pet's outdoor activity? (N/A if it does not apply)*
Where will your new pet stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a pet can be an 18 year commitment, and can cost $300 - $500 per year to care for?*

YesNo
Do you plan to take an obedience class with your dog?*

YesNoNot sureN/A
If yes, where?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNoN/A
What circumstances would lead you to give up your new pet?*
If you had to give up your pet, what would you do with him/her?*
How did you find out about Police4Pets Rescue?*

Petfinder.comFacebookFriend/Family MemberOther websiteOther
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Should be Empty:

Police4Pets Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information