Adoption Questionnaire

Perspective Pet Parent*

First Name

Last Name

Email Address*

example@example.com

Phone Number*

Name of Pet You Wish to Adopt*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you own any pets?*

CatsDogsNoneOther

If you marked that you have pets, please include how many pets of each type and any information you would like to add about them!*

Which best describes your home?*

Do you own or rent your home?*

OwnRent

If you rent, what is your landlord's pet policy?*

Landlord*

First NameLast Name

Landlord's Email Address*

example@example.com

Landlord's Phone Number*

Do you have a yard?*

YesNo

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

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?*

If you are interested in adopting a cat, do you plan to declaw?

YesNoMaybe

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

YesNo

Thank you for your interest in adopting a pet from AGC! Please note our adoption contract/policies below.

Adequate Time: Adopter agrees to give this animal at least two weeks time to adjust and decompress. During this time the animal should be offered a separate space away from any other animals. AGC is here as a resource to provide support and assistance anytime after adoption.
Animal Care: Adopter agrees to seek prompt veterinary care in case of illness or injury. In the event that an animal is adopted on a short-term treatment plan, AGC will provide the adopter with necessary medication. If, within 7 days of adoption, illness or concern arises, the adopter agrees to contact AGC before seeking veterinary care in order for us to cover the expenses. Adopter will provide the animal with fresh water, quality food, shelter, adequate exercise, and human companionship. Adopter will also comply with all state and local laws related to keeping this animal.
Spay/Neuter: In the event that an animal is adopted before they are spayed/neutered, Adopter agrees to coordinate a surgery day/time with AGC; as per state requirement.
Declaw: The Declawing of cats and dogs is inhumane and can cause lifelong effects. Adopter agrees to not declaw the adopted animal.
Ownership: Adopter agrees to not abandon, neglect, or abuse the animal in any way, or allow it to be used for any other illegal activity.
Lost Pet: Adopter agrees to contact AGC and make a serious effort to find the animal if it becomes lost. AGC agrees to provide resources and support in this process.
Returns and Rehoming: If the Adopter is in need of assistance rehoming or returning the animal, AGC will provide resources and support. If necessary, AGC will always accept animals returned to us under any circumstance with no judgment. The adoption fee may be refunded on a case by case basis.
Liability: Adopter understands this animal was possibly found lost, unclaimed, or was rescued by AGC from a dangerous and unhealthy situation. AGC is not liable for any claims, legal actions, losses, injuries, damages, costs, future veterinary care, expenses, or liabilities whatsoever in connection with Adopter’s adoption or ownership of the animal.

Date

Signature of Potential Pet Parent

AGC Adoption Questionnaire