Scooter's Pals Addoption Application

APPLICATION TO ADOPT

Scooter's Pals • www.scooterspals.org • (530) 350-2099
This questionnaire is designed to help Scooter's Pals and you determine if a specific dog is the right one for you and your household. This form may look long, but it is quick and easy to complete. And because the form is encrypted when you submit it, y0ur information is safe and secure.

COVID-19

We are continuing to rescue, foster, and adopt out abandoned dogs and cats dcuring Covid-19, just on a limited basis. Please bear with us as we reinvent how we can best function during these difficult times. Your patience and enthusiasm are vital to us, especially right now.
All who want to adopt a Scooter's Pals dog are required to complete this form and, if approved, an Adoption Contrat prior to adoption. Scooter's Pals reserves the right to deny any adoption based on answers to this questionnaire, a home check and/or interviews prior to adoption.

Time and staff limitations mean we cannot respond to every application. If you and your household seem to be a good fit witth the dog you hope to adopt, you'll hear back from us within two weeks.
Standard Adoption Fee $250

Our adoption fee is our attempt to recoup part of what it costs our rescue for the care each of our dogs receives. Depending on how much care a dog has required since rescue, the adoption fee may vary.
Scooter's Pals is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected, abused and homeless animals. Scooter's Pals is completely funded through fundraising efforts and public donations. All of our pets are cared for in foster homes and receive complete medical care, which includes a thorough vet exam, vaccinations, spaying/neutering, heart worm test and microchipping prior to their adoption.
Disclaimer: Due to the limited time spent with the rescued animals, Scooter's Pals is not responsible for the health, behavior, or temperament of the animals listed by or adopted from our organization.
Applicant Information
Application date

MonthDayYear
Date
Have you applied to adopt from Scooter's Pals before?

YesNoNot sure
Name of dog you're interested in*
Dog's breed*
Your full name*

First NameLast Name
Your age*

Under 2121-2526-4041-5556-6566-75Over 75
Street address*
Address 2
City*
State*
Zip code*
Home Phone*

Area CodePhone Number
Work Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Email*
Employer, City
What is/was your line of work?*
Personal reference 1 *
Reference 1 phone*

Area CodePhone Number
Personal reference 2*
Reference 2 phone*

Area CodePhone Number
Your Household
Are all members of your household in agreement with this adoption?*

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

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
How long have you lived there?*
If renting, provide name of landlord or manager
Landlord/manager's phone

Area CodePhone Number
Does your landlord allow dogs?

YesNo
Are there any restrictions from your landlord or subdivision?*

Number of petsBreed restrictionsSize or weight restrictionsNone
Do you have a yard?*

YesNo
If yes, what size is it?
Is it fully fenced?*

YesNoN/A
If yes, height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
Do you have a pool?*

YesNo
How many adults are in your household?*
Gender and ages of all adults in your household?*
If children, what are their gender and ages?*
Have your children been around animals before?

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

YesNo
Your Current/Previous Pets
List type/breed, gender and ages of any animals that live in your home*
How many of these pets are spayed/neutered?*
Are they up to date on vaccines, flea and heart worm preventative?*

YesNoI'm not sure
Have you owned dogs in the past??*

YesNo
If so, what happened to them?*
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?
Name and phone number of your current and/or previous vet or clinic*
New Pet Information
What type of personality do you want your dogto have?
Energy

High energyMedium energyCalmCouch-potatoNo preference
Age

BabyYoung adultAdultMature adultSeniorNo preference
Gender

FemaleMaleNo preference
Size

TinySmallMediumLargeExtra largeNo preference
Coat

ShortMediumLongNo preference
What other characteristics or traits are you looking for?
If necessary with your new dog, can you provide
House training

YesNo
Crate training

YesNo
Obedience training

YesNo
Additional assistance you can provide to your dog
Where will the dog spend the day?*
How many hours a day will the dog spend alone?*
In case of an emergency, who can take care of your dog if you're unable to be at home?*
Where will your new dog stay when nobody is home?*
How many hours a day will the dog spend outside?*
How will you supervise the dog's outdoor activity?*
What will be the dog's sleeping arrangements?*
What activities do you plan for your dog?*
What length of time will you allow your new pet to adjust to his/her new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Adopting a dog is a commitment that could last 10-18 years and cost at least $300-$500 per year. Are you ready and willing to make this commitment?*

YesNoI'm not sure
What circumstances would lead you to give up your new dog?*
If you had to give up your dog, what would you do with him/her?*
Signature*

Clear
How did you find out about Scooter's Pals?*

Friend/FamilyPetfinder.comFacebookOther websitePetcoNewspaper/Radio/TVOther
Please verify that you are human*
Scooter's Pals sends occasional newsletters and updates via email to adoption applicants. You may opt out and unsubscribe at any time if you prefer not to receive those messages.
Should be Empty:

APPLICATION TO ADOPT

Applicant Information

Your Household

Your Current/Previous Pets

New Pet Information