P.A.K.S. Adoption Application


Name Date
Address City, State, Zip
Home Phone Alternate Phone
E-Mail Address

What Type Of Pet Do You Want And Why?
What Size Pet Are You Looking For?
Do You Prefer A Male Or Female?
Are their children in the home or visiting often?
If yes, how many/what ages?

Will the pet be left alone while you work?
How many hours per week?
Where will the pet be left while you are working?
Will barking be a problem in your neighborhood?
Where will the pet sleep at night?

If you have other pets, what species, breed, size, and age?
If no other pets now, have you had other pets? Please explain.
Do you have a fenced yard? A pool? Please explain.

Do you have a groomer that you
trust or would you like a referral?

Are you prepared to take pet to obedience
training, if necessary, housetrain, etc?

Are you prepared to spend the money necessary
to keep your pet current with vaccinations, etc?

Are you prepared to groom, or spend money to
groom, a high maintainance dog on a regular basis?

Please provide us with the name, address and phone number of your current vet.
Have you ever given a pet to the Humane Society or any other animal shelter? Please explain.
Have you ever had a pet euthanized for reasons other than poor health?
Please explain

Thank you for taking the time to fill out P.A.K.S. adoption questionairre. We hope to be able to match you with a forever friend that will be able to bring many years of joy and happiness into your life.