The Pacv Adoption Form printable pdf download

The PACV Adoption Form

Thank you for considering the adoption of an animal from Pet Adoption of Cannon Valley. Your

complete answers to the following questions will help us to find an animal that best matches your

requirements and lifestyle. You can email this form to or you can fax it to us

at 507-263-5687.

In order for us to process your application, please fill out ALL questions on this form and

check all that apply:

Be 21 years of age or older

Have the consent of all adults living in the household (and landlord if renting)

Have ID showing your present address

Name:

Age:

Date:

Address:

City, State, Zip:

Home Phone:

Cell Phone:

Email Address:

Your employer:

Your occupation:

Where do you live?

Own Home

Own Condo

Rented Home

Rented Apartment

Rented Condo

With Parents

With Roomates

Other:

If renting, what is the name and phone number of your landlord:

Will you move in the next few years?

If yes, what will you do with your animals?

How many adults live in your household:

Number/Ages of children in household:

Where did you learn about Pet Adoption of Cannon Valley and our animals for adoption?

I have had a cat / dog before:

Yes. If Yes, when:

Currently have cats

Currently

have dogs

Currently have both

2-10 years ago

10+ years ago

I am interested in adopting a specific cat / dog (name of cat / kitten or dog / puppy):

I am interested in adopting any cat / kitten or dog / puppy who is (check all that apply):

Sex:

Female

Male

No Preference

Age:

Kitten / Puppy

Young

Adult

Senior

No Preference

Coat:

Short

Long

Medium

No Preference

Color:

I want this color only: _________

Any color but____________

No Preference

I am looking for (check any that apply):

Low maintenance—as little grooming as possible

I don’t mind grooming my pet daily

I don’t mind the monthly cost of professional grooming

My pet needs to be good with

Kids < 4 yrs.

Kids <16 yrs.

Elderly

Cats

Dogs

Other (specify):

Please check any of the following that might be a concern with a pet in your home:

Litterbox / potty training

Hyperactivity

Household destruction scratch / claw / chew

Nail Clipping

Shyness

Climbing on counters

Play biting

Nocturnal behavior

Urine Marking

Aggressiveness

Other: ____________

My pet will primarily be:

Family Companion

Companion to other animal

Hunter / field dog

Barn Cat / Mouser

Other:

Home Atmosphere:

Grand Central Station

Some activity

Quiet and Peaceful

Do you or does anyone living in your household have any known allergies to animals?

How many hours will your pet spend outside per day?

Pet Adoption of Cannon Valley • PO Box 473 • Cannon Falls MN 55009 • • 888-734-4414

The Pacv Adoption Form

Related Articles

Related forms

Related Categories