Adoption Application Form | Paws Care of Montgomery County IL

Adoption Form

First name

Last name

Phone

Address

City / State

Are you at least 21 years old? You must be to adopt.

Yes

Birthday

Pet's Name You Are Applying For:

Will the pet reside at the above address? YES or NO

Numbe of Adults in the Household

Number of Children

Ages of Children

If you rent, does Paws Care have permission to verify that pets are allowed? Yes, No, I do not rent

If you rent, please provide your Landlord's Full Name and Telephone Number.

If you live with family or roommates, does Paws Care have permission to verify that everyone is in agreement with the adoption?

If applicable, please list family/roommates you live with and their contact information.

How long have you lived at your current address?

If less than one year, what was your previous address?

Please indicate your current employment. (Title, company)

Are you planning to relocate in the next 30 days? Yes or No

If you are relocating, what do you plan to do with your pet?

Who will be responsible for daily care of the pet? (Feeding, exercise, cleaning, etc.)

Dogs and Cats often live upwards of 15 years. Are you prepared to take responsibility for this pet for its entire lifetime? Yes or No

Are you able to ensure the safety of this pet? Yes or No

Where will the animal be kept during the day? Evening?

On average, how many hours a day will the animal be left alone?

If the pet will be alone for 8 or more hours a day, will you make arrangements for someone to come check on it? This is very important!

Where will the animal be kept while you sleep?

Do you have a completely fenced in yard? Yes or No

If you have a fence, what is the height of the fence?

If you do not have a fence, are you willing to take the animal outside, on a leash, several times a day to relieve itself? Yes or No

Do you agree to return the pet to Paws Care, Inc. if you can no longer care for it? Yes or No

If the animal becomes ill or injured, are you financially prepared to care for it? Yes or No

How will your pet be cared for if you are out of town? Yes or No

Have you ever applied to adopt an animal from Paws Care before? Yes or No

If yes, when? And where is the animal now?

It may take your pet a month or longer to adjust to a new home. Are you willing to allow this much time for an adjustment?

If you had a major life change (change in job, sickness, a baby, etc.) what would you do with your adopted pet?

Is this your first pet? Yes or No

If this is not your first pet, please list all current pets you have, as well as any pets you have had in the last 5 years. Please tell us if it is/was a dog/cat, the breed, the age, if it is/was spayed/neuterd, where the animals are now and any explanations why an animal is no longer with you.

List your current or previous veterinarian(s), along with their address and phone. NOTE! If this information is not fully provided, the application will be denied. We must do basic background checks with veterinarians for your approval.

If applicable, what name is your pet(s) under at the veterinarian?

Have you ever had an animal impounded? Yes or No

If your pet has been impounded, please explain why.

Have you ever violated any local, state, or federal law or regulation involving the treatment or care of animals? please explain the circumstances.

You must be at least 21 years old in order to adopt from PAWS CARE. You must have one form of ID with proof of identity and current address. As the condition of the adoption, PAWS CARE reserves the right to conduct one or more pre-adoption home visits if deemed necessary; as well as post-adoption follow-up visits, and contact to the adopter by email and/or phone. I certify that the information provided on this application is true and correct to the best of my knowledge. I also acknowledge that any false information on this application can result in denial of adoption of an animal. I authorize investigations of all statements in this application, and understand veterinarians, other humane agencies, landlords, etc. may be contacted. I further understand that the adoption of an animal may be delayed until information on this application can be verified.

Is there any other information we should know?

Thanks for submitting!

Paws Care of Montgomery County, IL

Adoption Form