Adoption Application

Pets For Life Rescue

Giving pets a second chance at life.

Adoption Application

When filling out the application, please put N/A if a question does not apply. Every answer box needs to be filled in to be submitted. Thank you.

In order to be considered for an adoption, you must:
Be 18 years of age
Have the knowledge and consent of ALL adults in your household
Have landlord's name, telephone number and permission (if you rent)
Be willing to agree and sign an Adoption Contract that is legally binding
Understand that Pets For Life Rescue must approve your COMPLETE application

Pet you are applying for:
E-mail address:
Your Name:
Age:
Address:
City, State, Zip Code:
How long at this address?:
Home Phone Number:
Cell Phone Number:
Place of employment/phone number:
Type of dwelling you live in:
Do you own your home:
Do you live with your parents:
Do you rent:
Landlord's Name and Phone Number:
Name of Apartment Complex or Mobile Home Park:
Does your landlord allow pets:
Deposit required:
Deposit paid:
Do you have a fenced yard:
What type of fencing:
How high is the fence:
Number of adults in your household:
Number of children in your household:
Ages of children:
Is anyone in your household allergic to animals:
Does anyone in the household smoke inside:
What will you do with your pets if you move in the future:
How much do you anticipate spending yearly to feed, license and provide medical care for your pet:
Would you be willing to allow Pets For Life Rescue to visit your home when the adoption is complete:
Have you adopted an animal from us or another rescue/shelter before? If not from us, where:
Have you applied for adoption with us or another group, if so when and which group:
How many current pets do you have:
Current Pets Name, Age, Breed/Type, Gender:
Current Vaccinations:
Spayed or Neutered:
On monthly heartworm prevention:
On flea/tick prevention:
How does your pet get along with other animals:
Where do you keep your pets:
Vets Name And Number:
Please provide names and information on all PREVIOUS pets you have owned in the last 5 years:
Were they all current with vaccinations:
Were they all spayed/neutered:
Were they all given monthly heartworm prevention:
Where did you keep your previous pets :
Name and phone number for vets for previous pets:
What happened to these animals:
If no current vet, please provide the name and phone number of the vet you will take your animal to:
Please provide a non-related personal reference including telephone number:
Please provide a non-related personal reference including telephone number:
Do you want this pet for:
Where will you keep your adopted cat:
How long will the pet be home alone each day:
Where will the pet be kept during the day:
Where will the pet be kept during the night:
Do you plan to leave your dog in an outdoor kennel/run:
Do you plan to use an outdoor tie out for your dog:
If no fence provided, how do you plan to allow your dog access to the outdoors for potty breaks:
Do you realize that a cat or dog can live 15 years or longer:
Do you realize that some pets require regular grooming:
Are you willing to keep up with regular grooming:
Are you willing to give your pet monthly heartworm prevention:
Are you willing to give your pet necessary flea/tick prevention:
What brand of food will you feed your pet:
Are you willing to work with your new pet on potty training:
Will you allow your new pet two or more weeks to adjust:
I certify that the information I have given is true. I recognize that any misrepresentation of the facts may result in a denial of pet adoption. I authorize investigation of all statements on this application. I understand that by filling out this application it does not guarantee adoption.:
Sign:
Date:

Adoption Application: