Pet Adoption Application Form

PET ADOPTION SURVEY

Name of Pet/ Pets You Wish to Adopt*

Second Choice if Applicable

Have you received the information email on this pet and our adoption process and fees?

If YES, please continue.

If NO, please STOP, and email Rescue@PawPrintRescue.Org and request the adoption information for this pet before submitting the adoption survey.

Dog Adoptions: We only adopt our dogs to families who will keep them as indoor pets.

Cat Adoptions: We only adopt cats as "indoor only" cats. (If your cat will be allowed outdoors without a harness or secured enclosure, please stop here and look for other adoption options.)

Perspective Pet Parent*

First NameLast Name

Age & Occupation*

Email Address*

Phone Number*

Area CodePhone Number

Secondary Phone Number

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Names, ages, and occupations of other adults in the home.*

Names and ages of children in the home.*

Does anyone in the home have an allergy to dogs or cats, if yes, please explain.

Do you have other small children frequently in the home: examples, grandchildren, babysitting, friends, etc. If yes, please provide ages, frequency and any other relevant information with respect to a new pet.

Do you use text messaging?

YesNo

Do you have a facebook and/or messenger account?

YesNo

Which type of pet are you primarily looking for?

Pet to love and be part of your familyEmotional support animal to help youService animal for assistance

How long at this address?*

What type of home do you live in?*

Do you own or rent your home?

If you rent, provide the landlord's contact information and lease pet requirements.

Do you have a smoke free home?

YesNo

How much money per year do you expect to spend on your pet including food, treats, toys, and health care.*

Describe your home environment: mood, activity level, etc.*

Do you have a private yard? If yes, is it fenced? What material type of fencing? Height of fence. *

When the dog/cat goes outdoors, how do you plan to supervise?*

Do any of the adults or children in the home have anxiety, or ADHD. If yes, please explain.

Will you use a dog crate or kitty condo?

Where will your new dog/cat sleep?*

Will you let your new pet on the furniture?

YesNo

How many hours will your new pet be left alone and where will he/she stay (specifically - room, crate, free in home, etc)*

Please describe what drew you to this particular pet that you are applying for and why he/she would be a good fit for your family.*

Please share how you could provide a wonderful home for this pet.

Do you own any pets currently? If yes, please tell us about them, names, species, ages, breeds.*

Are these pets spayed/neutered, current on vaccinations, have any special health needs?

If you do not have current pets, have you had pets in the past, please explain.

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

Have you ever re-homed a pet, If yes, please explain. *

Have you ever had a pet euthanized, If so why?*

Have you ever lost a pet to an accident? If yes, please explain.*

How do you discipline/correct your pets?*

Are you willing to invest in training, doggy day-care, a dog walker, etc if needed?*

What reasons would you consider acceptable for giving up your pet?*

What is your plan if it happened that your pet outlives you?

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

How would you deal with behavioral issues such as barking, chewing, scratching, destructive behavior, potty accidents, etc?*

Describe your ideal dog/cat: personality, age, gender, size, and breed*

What breeds, sizes, gender, etc would you NOT adopt?*

Who will have primary responsibility for the dog's/cat's daily care?*

Who will have primary financial responsibility for the dog/cat?*

Do you agree to keep the dog/cat as an indoor pet?*

Do you agree to provide regular health care by a licensed veterinarian?*

Are you willing to let a rescue representative visit your home by appointment?*

What else would you like for us to know?

Do you have any restrictions for driving at night, including vision, depending on ferry, or other public transportation modes? If yes, please specify (At times our transports may arrive in the evening.)

Would you consider an additional $150-$200 to have a rescue baby hand delivered (flown in cabin) to you by one of our volunteers (only available for kittens, puppies and very small dogs and cats. (Very limited availability.)

YesNoMaybeNot Applicable (medium to large pet)

Would you consider fostering for PawPrint Cottage in the future?

Please provide the name, email, and contact numbers a personal reference:*

By submitting my survey, I attest that all of the information is complete and accurate.

Thank you for your interest in adopting a rescue and saving precious lives.

You will be contacted by an adoption coordinator after your survey has been reviewed.

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