Own or Rent?
Home Phone (ex. 000-000-0000)
Work Phone (ex. 000-000-0000)
Cell Phone (ex. 000-000-0000)
Number of Adults in Household?
Number of Children and Ages?
Other Pets? Type, Gender, Age?
Have you owned a pet before?
Where did you get your pet?
What happened to it?
Do your children have experience with pets?
How will your pet spend its time outside?
How will you discipline your pet?
Taken an animal to the Humane Society? Why?
Why do you want to adopt this animal?
These are questions about the pets you have now or have had previously. Your veterinarian will be contacted as a reference. A vet reference is required.
Veterinarian's Phone Number:
Pets spayed or neutered?
Pets on heartworm preventative?
Are they inside or outside pets?
How did you hear about this pet?
Additional Information you would like us to know:
I understand that I am responsible to have my pet spayed or neutered by ______________________.
By submitting this adoption agreement online, I consent to a pre-adoption visit by a member of the Pals for Paws staff and to follow-up visits or phone calls to check on the welfare of this pet.
By submitting this adoption application online, I give my consent to Pals For Paws/my listed vet to discuss any and all pet health record(s) on file.
I agree that if, FOR ANY REASON, I have to give up this pet, I will contact Pals for Paws, Inc. so that they may find it a new home.
I certify that the information I provided is true and correct. I understand that Pals for Paws, Inc. has the right to approve or deny this application in accordance with its policy.
I understand that if I change my mind about adopting this pet, my adoption fee will be refunded ONLY IF I notify Pals for Paws within 72 hours (3 days) of its adoption.
I understand that if my adoption fee is not paid and I refuse to make good on the payment that Pals for Paws will have no choice but to come and reclaim their animal. I agree to surrender this animal if I am unable to make good on the adoption fee
Signature and Date _________________________________________________________
Pals for Paws Staff Only
Pals for Paws Staff Member Signature _____________________________________________________
Type the letters from the image.