| Please list the animal(s) you are interested in adopting? | |
| Last Name | |
| First Name | |
| Street Address | |
| City | |
| State | |
| Zip Code | |
| Email Address: | |
| Home Phone (Please enter in the format (XXX)XXX-XXXX) | |
| Cell Phone (Please enter in the format (XXX)XXX-XXXX) | |
| Please provide name and phone number of your workplace or your spouse's or indicate if you are retired. | |
| Please provide two names with their addresses, and phone numbers as references. | |
| Please provide the name, phone number, and address of your vet. | |
| Birthdate | |
| Marital Status | Single
Married
|
| Do you rent or own? | Rent
Own
|
| If you rent, please provide the first and last name and phone number where your landlord can be reached. | |
| Do you understand that in most cases a deposit is required before animal can be transported. All deposits will be applied to adoption fee. | Yes
No
|
| Do you understand that in the event of more than one applicant for an animal that you will get said animal only if you have heard from the rescue that your application has been approved and you have paid your deposit. Deposits are applied to the adoption fee. | Yes
No
|
| If the pet you listed above is not available would you consider a diffrent pet? | Yes
No
|
| If you would consider a diffrent animal, please list the name(s). | |
| Would anyone living in your household object to having adopting a pet? | Yes
No
|
| If yes, please explain. | |
| Do you have any other pets? | Yes
No
|
| If yes, please list all other pets, breed/size/personality. | |
| Have you ever owned any pets before? | Yes
No
|
| If yes, please list all other pets, breed/size/personality. | |
| Are all of your other pets spayed or neutered? | Yes
No
|
| Are all of your other pets current on all vaccinations? | Yes
No
|
| Do you understand that owning a pet is a long-term commitment, lasting sometimes as long as 15+ years, and that in adopting a pet, you are committing to that pet and that you will provide him/her safety and proper care for the remainder of his/her life, including comfortable, safe enviroment, daily food and fresh water. | Yes
No
|
| Please describe and list your fencing situation and where your pet will be staying during the day and during vacations. | |
| Paws, Claws & More Rescue reserves the right to perform a home visit to the adopter's home and except in the event of an emergency the rescue will give a 24-hour notice to the adopter if it is determined such a visit is needed. Do you OBJECT to a home visit? | Yes
No
|
| Paws, Claws & More Rescue is not responsible for any health problems that arise after the adoption date. Paws, Claws More will not adopt out an animal found to have any known health problems unless made aware to the adopter. Do you understand that any health problems that occur on or after the adoption date is your responsibility? | Yes
No
|
| Adoption fees are non-refundable, however if an animal does not work out, we will work with the family to find an appropriate animal for their home. Do you understand that the adoption fee is non-refundable? | Yes
No
|
| Paws, Claws & More Rescue requires that any animal adopted to an individual be returned to the rescue, Paws, Claws & More, if for any reason the adopter chooses not to keep that animal. This means you agree you will not give, sell or surrender any animal adopted from Paws, Claws & More Rescue to any individual or entity, do you understand? | Yes
No
|
| By submitting this online application you are stating that you understand and agree to all the terms and conditions contained within. | Yes
No
|
| Full Name | |
| Today's Date | |
| |