Pre Adopt Form (Page 2 of 2) in pdf

ABOUT the PET(s) YOU WANT TO ADOPT

What kind of pet(s) are you thinking about adopting?

[ ] Kitten

[ ] Cat

[ ] Puppy

[ ] Dog

Optional: If you prefer a certain breed, size, or temperament, tell us what you like:!!

_____________________________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________

If you are looking for a kitten or cat, will it be declawed?

[ ] Yes

[ ] No

Will pet ever be allowed outside by itself?

[ ] Yes

[ ] No

If allowed outside by itself, pet will be:

[ ] in a fenced yard

[ ] in a pen

[ ] in a crate

[ ] tied up

[ ] on a runner

[ ] allowed to roam

Puppies/dogs only:

How many hours at a time will the puppy/dog be: left alone outside?

!!left alone inside?

____________

_____________

When inside, the puppy/dog will be: [ ] in a crate

[ ] in limited room(s)

[ ] free to roam the house

ABOUT YOUR OTHER PET(s)

Tell us about the pets you have owned in the past:

Cat or Dog?

Name?

Breed?

Spayed/Neut? How long owned?

What Happened?

Tell us about the pets you now own:

Cat or Dog?

Name?

Breed?

Spayed/Neut?

Age?

Is pet up-to-date with vaccines?

☞

Note: If you already own a dog and you are adopting another dog, we require you to bring your dog

to the Shelter to meet the new family member. This will help you get a sense of how well they will get along

PLEASE READ and INITIAL EACH ITEM

__________

I understand that pets sometimes need veterinary care, including visits for common problems such as colds,

diarrhea, or parasites, and that all veterinary expenses will be my nancial responsibility.

__________

I understand that housebreaking, training, and re-training may take lots of time and I am willing to devote that time.

__________

I will take my new pet to a veterinarian soon after adoption for a thorough check up and appropriate shots.

(The Shelter will provide a record of your pet’s medical care to take to your veterinarian).

__________

If I adopt an unaltered pet, I will have my pet altered before the spay/neuter certi cate expires.

__________

I will contact the Shelter if I have a problem with my pet.

CHECKLIST of REQUIRED DOCUMENTS

•

License or other identi cation with your home address on it.

•

If you rent your home: Copy of your lease.

(Otherwise we will need to contact your landlord, and this might delay your adoption if we can’t reach her/him.)

•

If you own your home, proof of home ownership.

(We like to see a mortgage statement or tax bill; otherwise, we can check public records if available.)

YOUR SIGNATURE

Date:

Signature:

__________________________________

______________________________________________________________________________________________

PA-V14

Pre Adopt Form Page 2

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