Pre-Adoption Application Form (Page 2 of 3) in pdf

3. GENERAL INFORMATION CONTINUED

How long will this pet be alone each day? _________________ If you adopt a pet, what type of facilities do you have to

accommodate them to keep your puppy/dog, or cat/kitten safe from others, and safe for your home and belongings?

Accommodations when left alone.____________________________________________________________________

Do you agree to an annual exam and vaccinations as recommended by your vet? Yes ____ No ____

Are you prepared to care for this pet for the rest of its life (it may be a commitment of 20 + years)? Yes ___ No ___

If anything should change after the adoption and you can no longer keep your adopted pet, it must be returned to Animal

Aid Humane Society. It cannot be given to another shelter or another person. Do you agree to this? Yes ___ No ___

Will this pet live inside your home where you spend the majority of your time when you are present? Yes ___ No___ Pet

expenses: Whether it's an annual physical, rabies vaccination, flea treatment or heart worm meds, ongoing expenses for

food or litter, or possibly an illness/injury that would require a special trip to the vet or Animal Emergency Center--We

like to remind our potential adopters that owning a pet carries a financial responsibility beyond the adoption fee. Is this

something that works with your budget? Yes ______ No ______ I Think So______

4. FOR KITTENS/CATS

All cats adopted from Animal Aid Humane Society are to be kept inside. Do you agree to do this? Yes ___ Maybe____

Are you aware of the leash laws in your community? Yes ___ No___

You should be aware that cats are able to jump on furniture, tops of cabinets...Just about anywhere. If the cat does that,

what would you do to prevent it?

_________________________________________________________________________________________________

Do you have a place to keep a litter pan that will be convenient for the cat (s)? Yes ___ No ___ I Think so_____

5. FOR PUPPIES/DOGS

Do you have a fenced in yard? Yes ___ No ___While outside, will it be allowed to run loose or be confined?__________

What type of confinement is there?_______________________________________________

What method of housebreaking will you use if this is necessary?_____________________________________________.

Are you aware of the leash laws in your community? Yes ____ No ____

Will you keep your dog or puppy on heart worm preventative medicine as prescribed by your Veterinarian __________

Describe the type of shelter that will be provided if the dog is to be outside during any part of the day.

___________________________________________________

We Apologize for the length of this form, but it is very important to us that we get a great 'forever home for our pets at

Animal Aid Humane Society. I do hope that you understand. Just a few more questions.

6. YOUR OTHER PETS:

Do you currently have any pets in your home? Yes ___ No ___If yes, please list them below: Do you have a Special

Needs Animal Yes_____ No______ If Yes explain. _______________________________________ .As an adult, how

many pets have you owned other than listed above? ________What happened to those pets?_______________________

You Veterinarian’s name for reference.___________________________________________

City____________________________* If you have never owned a pet and have no vet, please provide a reference.

Name________________________________________________ Phone No____________________ Second Phone

No______________________ .

Pre-Adoption Application Form Page 2