Adoption Application

* Indicates required field

Name: *

First

Last

Address: *

City: *

County *

State: *

Zip Code: *

Home Phone: *

Work Phone: *

Cell Phone: *

Email: *

Place Of Employment: *

If you are a student, list your parent's name, phone number and address: *

Animal Interested In: *

Why are you interested in this particular animal? *

What are the needs of this particular breed? *

What traits are you looking for? *

Please provide info on all the adults in your household, including yourself:

1. Name: *

First

Last

Age: *

Relationship to you: *

2. Name: *

First

Last

Age: *

Relationship to you: *

3. Name: *

First

Last

Age: *

Relationship to you: *

Is anyone in the household allergic to dogs or cats? *

Yes No

Are all members of the household in agreement about adopting an animal? *

Yes No

Number of children in household? *

Ages? *

Current companion animals in the household:

Breed: *

Gender: *

Age: *

Are they neutered/spayed? *

Yes No

If not, why not? *

Name of vet? *

Phone number of vet: *

Do you know if your current animal(s) will accept a new animal in the household? *

What pet food do you use? *

Previous companion animals you no longer have:

1. Breed: *

What happened to him/her (please be specific)? *

Number of years you had this animal? *

2. Breed: *

What happened to him/her (please be specific)? *

Number of years you had this animal? *

3. Breed: *

What happened to him/her (please be specific)? *

Number of years you had this animal? *

4. Breed? *

What happened to him/her (please be specific)? *

Number of years you had this animal? *

Have you ever given an animal away to a friend, relative, or shelter? *

Yes No

Please provide specifics: *

Are you planning on declawing a cat? *

Yes No

Do you own or rent? *

Own Rent

Type of home: *

How long at present address? *

Do you have your landlord's permission to have pets? *

Yes No Not Applicable

How Many? *

Can you provide a copy of your lease? *

Yes No Not Applicable

Is there a weight, size, or breed restriction? *

Yes No

What is the restriction? *

Name of landlord: *

First

Last

Phone number of landlord? *

Where will the animal be kept during the day? Please be specific: (crated, confined to a room, free rein of house, outside kennel/pen, basement, garage, yard, etc.) *

Where will the animal sleep at night? Please be specific: (crated, confined to a room, free rein of house, outside kennel/pen, basement, garage, yard, etc.) *

Where will the animal be kept when you are at work or away from home? Please be specific: (crated, confined to a room, free rein of house, outside kennel/pen, basement, garage, yard, etc.) *

How will the animal be cared for during overnight absences or while you are on vacation? *

How many hours a day would the animal be outdoors? *

How many hours a day would the animal be indoors? *

How many hours a day would the animal be left home alone? *

If you plan to crate train, how many hours a day will a dog be crated? *

Do you have a completely fenced area? *

Yes No

How large is the fenced area? *

How high is the fence? *

What type of fencing (chain link, privacy wooden, invisible fence, etc.)? *

How will a dog be exercised? *

How much time each day do you have to devote to exercise? *

Who will be the main caregiver of this animal? *

How would you correct unwanted behavior? *

What are your thoughts on obedience training? *

Have you ever obedience trained a dog before? *

Yes No

How? *

Are you willing to housetrain a dog? *

Yes No Not Applicable

Are you willing to take a dog for obedience classes? *

Yes No Not Applicable

List the types of behaviors you consider NOT acceptable. *

What would you do to correct these behaviors? *

What would you do if you could not keep the animal? Please be specific. *

Under what circumstances would you not be able to keep an animal? *

At what point would you consider euthanasia if your animal became ill? *

What do you estimate the monthly expenses will be for animal care? *

Thank you for your interest in a Pound Pals rescue animal.

Pound Pals animals are placed in screened homes.

We require a home visit prior to adoption to ensure the new home is a good match for both the animal and the family.

We reserve the right to deny any applicant. By filling out this adoption application, you certify that the information given is true and complete. False information will be cause to terminate the adoption process. You also authorize the release/disclosure of veterinary records. You must be 18 or older to adopt.

Submit

Adoption Application

Please email us if you don't receive a​response within 5 business days.​Click HERE to email us for an application!

Please email us if you don't receive a
response within 5 business days.
Click HERE to email us for an application!