Pet Adoption Application
Pet ownership is a serious
responsibility. This policy of the adoption group is to assure that each
person who adopts a pet is aware of the responsibility, and that each is capable
and willing to accept that responsibility morally, physically, and
It is quite true that not
everyone who desires to own a pet should have a pet. The following
questionnaire has been designed to aid both you and the adoption group in
deciding if you and/or your family is indeed at this moment adequately
prepared to assume the type of responsible ownership which we are
endeavoring to assure for our adoption animals.
Please be sure to
answer all questions and feel free to add your own comments. If a question
does not apply, write N/A.
Name of spouse/significant other/roommate:
Do all adults in your household know you plan to adopt?
Who will be primarily responsible for the
What are your reasons for adopting a pet?
A companion for you
A companion for your dog
Other: (Please Explain)
Your type of dwelling:
Own or Rent?
If you rent, are pets allowed?
Length of residency:
This dog will be:
If you answered indoor only, please describe what outdoor access the pet will
have (when will it go out, etc.)
If you have children, please list their ages:
Have your children ever
been around cats/dogs?
Has a cat/dog ever bit your child?
Do your current pets like cats/dogs?
Have you ever bred a cat/dog?
If yes, did you breed for:
If you presently own a dog has it been neutered/spayed?
If not, why?
Has your cat/dog been vaccinated?
If so, date of the last vaccine?
Past Pet History
Do you still have this pet?
If not, why?
Pet 2 Name:
Pet 3 Name
In regards to the above questions, what happened to your pet(s)?
Hit by car
Died of disease
Gave to a shelter
What outside space is available for the dog? Fenced yard?
Yes Height of fence:
Type of Fencing:
Locks on gates?
Other provided living areas:
Do you have a:
Do you also have a:
Pool - If so, is it fenced? Yes
Will you have your dog tied up?
Where will your pet sleep during
In what areas of the house will the dog be allowed?
How many hours per day on average will the pet be left alone?
Who is your current/last veterinarian?
References: (please list 2)
Will your dog be allowed on the furniture?
If not, how will you train your dog not to jump on your furniture?
How do you plan on housebreaking your new dog?
Are there any reasons that might preclude you from being able to properly
care for your new pet?
If so, please list reasons:
Under what conditions would
you not keep your new pet?
Move to a place that didn't allow pets
Move out of state
Too much hair
Grew to big
Kids ignored pet
Pets didn't get along
Other (Please explain)
What would you do with your
dog if you could not keep it for the above reasons?
Do you travel a great deal?
Where does your pet stay when you are on vacation?
Have you ever trained a dog in obedience class?
Will you be able to live with fur on your furniture, stains on your rugs,
a warm body on your bed, and an animal who may be destructive at times?
If the dog becomes destructive, what would you do?
How did you hear about this pet adoption?
Adoptions also require a home inspection by an approved Pet-Angels-Rescue
Will you agree to a home visit with one of our members?
All dogs are required to be spayed/neutered prior to
adoption. Signature: Date: