Pet Adoption Application

Todays date

Date

When will you be ready to take your adopted pet home with you?

Date

Name of Pet you are interested in

Driver’s License #? You must be at least 18 to adopt.

What reasons are you interested in adopting the above pet?

Your Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Type of Residence

Length of Time at Residence

Do you

Time Away from Home?

Ages of Children in Household, if any?

How did you hear about our adoption program?

For Dog Adoptions, Please answer the following questions:

What type of fencing to you have?

Other

How tall is your fence?

If neccessary, do you approve to a home visit to prove secure fencing or for other issues?

Do you plan to use a:

Are you aware of heartworm disease and monthly heartworm preventative?

Are you aware the average lifespan of a dog is 10-15 years and are you prepared to provide this dog a home for the rest of its life?

For Cat Adoptions, Please answer the following questions:

Do you plan to keep your cat?

How many litterboxes will you provide?

Will you be getting this cat declawed?

Are you aware the lifespan of a cat can be up to 20 years old and are you prepared to provide it a home for the rest of its life?

Current Veterinarian

Veterinarian Phone Number

Current Pet History

Name of Pet 1

Age of Pet 1

Type of Pet 1

Other

How long have you owned Pet 1?

Is Pet 1 Spayed or Neutered?

Is Pet 1 kept inside or outside?

Name of Pet 2

Age of Pet 2

Type of Pet 2

Other

How long have you owned Pet 2?

Is Pet 2 Spayed or Neutered?

Is Pet 2 kept inside or outside?

Name of Pet 3

Age of Pet 3

Type of Pet 3

Other

How long have you owned Pet 3?

Is Pet 3 kept inside or outside?

Is Pet 3 Spayed or Neutered?

Please tell us about any other pets you currently own?

Past Pet History

Name of Pet 1

Type of Pet 1

Other

How long did you own pet 1?

Did Pet 1 pass away?

If yes, what was the reason?

Did you have to give pet 1 away?

If yes, What was the reason?

Name of Pet 2

Type of Pet 2

Other

How long did you own Pet 2?

Did Pet 2 pass away?

If yes, what was the reason?

Did you have to give away Pet 2?

If yes, what was the reason?

Please tell us about any other past pets you have owned in the past 5 years?

Thank you for completing your application. We will be in touch with you ASAP. Feel free to contact us by texting 325-651-0659 if you have any other questions.

Standard adoption fees: Dogs $200, Cats $85.

Adoption fees are non-refundable

Special rates sometimes apply

After adoption this becomes a binding contract. If in the event that the adopter cannot keep this pet in the future, then New Beginnings must be notified. Do not take this pet to another animal shelter unless approved by New Beginnings.If you need any help with pet training or behavior problems please contact us.

All pets over the age of 4 months will be spayed or neutered before adoptions. Pets under this age will have a prepaid scheduled appointment for a spay/neuter surgery. The adopter must agree to bring the pet to the vet at the scheduled time.

All dogs will be on heartworm preventative. It is the owner’s responsibility to give preventative every month after the dog’s adoption.

By adopting this pet, you agree to provide full care of the pet’s needs to include but limited to: yearly vaccinations, medical care, monthly heartworm preventative, shelter, healthy diet, freshwater.

By signing this agreement, you will not hold New Beginnings responsible for the pet’s actions or medical care after adoption.

If New Beginnings sees that you are not providing the adopted pet with a fit home then New Beginnings may confiscate the adopted pet at any time after adoption.

Signature