Pawesome Village Rescue
PRE ADOPTION APPROVAL APPLICATION
Thank you for considering adopting a rescued animal. This form is designed to help us help you find the right pet for your particular household. In order to be considered for adoption, you must: 1.) Be 18 years of age, AND 2.) Understand that this adoption application must be approved. Pawesome Village Rescue reserves the right to refuse an adoption to ANY applicant. Please note that we do not allow cat declawing or any of our dogs appearance to be surgically altered.
Pet you are interested in, or type you are looking for ______________________________________
Date: ______
Name: __________________________
Address: ________________________
City/State/Zip: __________________________________________
Daytime Phone: ______________ Best Time To Call: _
Evening Phone: ______________ Best Time To Call: _
Employer: _____________________ Full or Part Time? _
Occupation: ____________________
Anyone else in home? ______________________________________________
Do You: Own or Rent Please Circle One.
If Rent, Landlord’s Name: ___________________________
Landlord’s Phone: _______________________________________If small animal, will this pet be kept indoors or outdoors? Is your yard fenced in? Explain: _____
Is this animal adoption for:
You Family Friend Please Circle One.
If you move, what will you do with your adopted animal? Explain: _________________________
Where will pet be kept during the day___________________________evening_____________________________
Is anyone in your house allergic to animals? Who? _____________________________
Are there children in your house? __ If yes, please list how many and
Their ages.
Do you currently have any other pets? ____ Have you ever given a pet away? ________
If yes, Breed and ages: #1________________________________________________________________________
2 #3
Are your pets Spayed/Neutered? __________________If no, Explain: ______________Declawed Y or N
Do your current pets see a Veterinarian regularly? (At least once a year) _
Veterinarian’s Name: _________________________________________
Veterinarian’s Address: _____________________________________________Phone Number ______
Personal Reference (1): ________________________________________
Reference Phone Number: _____________________
Personal Reference (2): _______________________________________
Reference Phone Number: ____________________
Do you understand that you are subject to visits by Pawesome Village Rescue for as long as you possess this adopted animal?
Yes or No____________
Do you understand that a pet of any type is time consuming and expensive?
Yes___________ or No_____________
Are you willing to devote your time and your money to this pet in case it becomes ill?
Yes or No_____________
Who would care for your pet if you no longer could __________________________________
Under what circumstances would you get rid of this pet. _________________________________
Email address ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬—_________________________________________________________________
