Which pet are you applying to adopt? (required) * Is it a: How did you first hear about this dog/cat? Pupandcatco.com website Facebook post Pet was at adoption event Internet search for adoptable dogs Petfinder.com Refered by a friend Other First and Last Name (required): *
Email Address (required): *
Street Address (required):
* Daytime Telephone (required): * Evening Telephone: Employer: Type of dwelling? Single family residence Apartment Duplex Townhome Condo Loft Other Type of dwelling (Apartment, single family residence, duplex, townhome, condo, loft, etc?) Do you: If you rent: Does your lease allow pets? Landlord's Name: Landlord's Phone: Does your landlord require a security deposit?
(proof of payment required before the adoption can be completed)
Length of time at current residence? If less than one year at current residence, please provide previous address: Length of time at previous residence? 1 to 3 years 3 to 5 years 5 or more years Do you have a fenced yard? Type of Fence? Height of Fence? Will you use a fenced run/pen? Will you use a tie out? Occupation - Do you: Number of adults in the home: Number of children in the home and ages: If multiple adults in the home, do both adults work outside the home? Does everyone in household agree to getting a new pet? How many hours per/day will your pet be left alone? Where will your pet stay when you are not home? Where will your pet stay during the day? Where will your pet stay at night? Do you currently have any pets? (required) * If yes, please give names, breeds and ages, as well as any other relevant information about the pet: (Type N/A if not applicable.) If you have current pets, are they spayed/neutered? (required) * If you have current pets, are they up to date on shots? If you have current pets, are they on heartworm and flea preventative? What type of heartworm medicine do you use? What type of flea preventative do you use? What type of food do you feed your pets? If not on heartworm and flea preventative, please explain as it is a requirement for approved adoption applications: (Type N/A if not applicable.) If you don’t currently own a pet, have you owned one in the past? (required) * If yes, please explain why the pet is no longer with you: (Type N/A if not applicable.) Have you ever surrendered a pet to a shelter or animal control? (required) * Will the pet be: Indoor Outdoor Both indoor and outdoor If both indoor and outdoor, how much time will the pet spend indoor and outdoor? Why do you wish to adopt this type of animal? Companion As a gift for someone For a child Companion for other pet Personal protection Watchdog If you are adopting a cat/kitten are you planning to have it declawed? If you are adopting a cat/kitten are you planning to let it go outside? How would you describe your household? If you described your household as other above, please explain. Have you ever adopted from us before? If yes, name of pet(s), type(s) and date of adoption(s) Name/address/phone # for current veterinarian (To check current pet records) or veterinarian that you plan to use (if you don’t have a current pet) (required) * What will you do with your pet if you move, become ill, or experience a major life change? Realizing that dogs and cats often live 15 years or longer, are you willing to take responsibility for your pet's entire life, keeping it current on yearly shots and tests? Are you willing to keep your dog on heartworm preventative? Are you willing to use effective flea control products? Will you decide to alter your pet's appearance other than normal grooming (declaw, dock tail, crop ears)? How do you feel about spaying/neutering? Are you prepared to make a lifestyle adjustment to provide this animal a forever home? Under what circumstances do you think it would be wise to find a new home for a pet? Are you aware that Pup & Cat Co charges a $300.00 adoption fee? How much does it cost to care for a pet per month? Are you willing to deal with an adjustment period and to work through behavioral problems? If no, please explain. Are you willing to take your pet to obedience training? Would you be willing for a representative of our organization to do a home visit before and after adoption? Would you be willing to conduct a meet and greet between your current pet(s) and the pet you are interested in adopting? Would you be interested in any of the following? REQUIRED: I certify that the information given on this application is true and correct. If I am approved to adopt an animal, I agree to all the above requirements. I understand that failure to comply with any of the requirements will result in confiscation of adopted animal. * CAPTCHA
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