PCAS Adoption Application
Please answer all questions as completely as possible. The more information you provide, the better the chance of being matched with your perfect pet. Please allow up to one week for your application to be processed. Thank you.
Provide name(s) of animal(s) you are interested in adopting
*
or describe your ideal pet
Adopter's Full Name
*
First Name
Last Name
Address where pet will reside
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Do you rent or own your home?
*
Rent
Own
If renting: Are pets allowed? Please provide the name and phone number of landlord.
*
Length of time at current address
*
Are you a U.S. citizen?
*
Yes
No
Are you a college student?
*
Yes
No
List all current pets living in the home. Include name, type/breed, age, and sex.
List names and ages for all people residing in your home.
*
Please include the names and ages of any children who will visit your home frequently.
What is your occupation?
*
Name of veterinarian / clinic (current or past)
*
Vet clinic address and phone number
*
Are you a first time pet owner?
*
Yes
No
Who will be primarily responsible for this pet?
*
Would you plan for this pet to be:
*
Indoor only
Outdoor only
Indoor / Outdoor
What do you think is a reasonable amount of time for this pet to adjust to your home?
*
Tell us why you feel this pet would be a good fit for your home and list any concerns you have.
*
I understand that if a pet is placed with me, I will pay a NON-REFUNDABLE adoption fee. Completion of this application does not guarantee that PCAS will place a pet in my care. I certify that all information provided is truthful and accurate.
Please indicate if you agree:
*
I agree
Submit Application
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