Puppy Adoption Form

Adoption Application, Contract and Waiver

Perspective Pet Parent*

First NameLast Name

Name of Pet You Wish to Adopt*

Email Address*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Date of birth

Do you own any pets?*

Pet Name(s)

Pet Breed(s)

Please provide your veterinarian's name and phone number:*

Please list personal references

Do you own or rent your home?*

OwnRent

Do you have a yard?*

YesNo

If "Yes" to the above, is it fenced? please describe

What is your landlord's pet policy?*

If you rent, please provide your landlord's information here:*

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?*

YesNo

Are there children in the home? (If yes, please list ages)*

How many hours per day would the pet be alone?*

Will you crate your pet?*

If you have to leave town, emergently or planned, where would your pet stay?*

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo

If you answered "Yes" please provide a detailed description:

By clicking the submit button, I agree that if the adopted pet isn't spayed or neutered yet, it will be a foster to adopt until the pet is fully vetted (spayed/neutered) and Paws&Claws Animal Rescue of Quay County Inc is still the owner of the pet. Adoption will be completed as soon as the pet is spayed/ neutered.
By clicking the submit button, I agree to Paws&Claws Animal Rescue of Quay County, Inc adoption process, will undergo a homecheck, and interview at the discretion of Paws&Claws Animal Rescue of Quay County Inc.
By clicking the submit button, I understand Paws&Claws Animal Rescue of Quay County Inc. will check my references including veterinary and personal.
By clicking the submit button, I agree to indemnify and hold harmless Paws&Claws Animal Rescue of Quay County Inc. against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that Paws&Claws Animal Rescue of Quay County Inc. will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Paws&Claws Animal Rescue of Quay County Inc. and provide transport to where Paws&Claws Animal Rescue of Quay County Inc. deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent*