Adoption Questionnaire-Paws and Claws

Name of desired pet?

First name

Last name

Email

Phone Number

Address

Spouse/Partner Name and Phone Number?

What type of housing do you reside in?

Do you own or rent your home?

Own

Rent

Other

If you rent or have HOA (home owners association) please proved landlord/HOA contact information:

Does every person in your household agree to adopt a pet?

Yes

No

Number of people you live with and their ages?

Do anticipate any household changes over the next 5-10 years? EX: Kids, Moving, Graduation, Retirement.

Have you ever owned a pet before?

Yes

No

If you have owned a pet before, where is it now?

Current number of male cats in you household?

Current number of female cats in your household?

Current number of male dogs in your household?

Current number of female dogs in your household?

Are your pets spayed/neutered?

Are your pets up to date on vaccines?

Have your cats been tested for feline leukemia?

Yes

No

Unsure

Name and phone number of your Veterinarian clinic? Doctors name?

Do we have permission to contact your Veterinarian?

Yes

No

Why are you interested in adopting this pet?

Have you researched this breed type?

Yes

No

Are you open to considering a different pet if we think there is a better match?

Yes

No

What activities are you interested in doing with your new pet? Ex: Fetch, hiking, playing, swimming, traveling.

If unwanted behavior develops, how do you plan to address it?

Are you prepared to bring a pet home now?

Yes

No

A dog’s lifespan is typically 10+ years and a cat can live 20+ years. Are you willing to take responsibility for this animal for that length of time?

Yes

No

Are you able and willing to afford expenses for this pet, including proper nutrition, routine veterinary exams, vaccines, and unexpected veterinary bills?

Yes

No

Adopting a rescue animal is truly an amazing adventure. You understand that the previous medical history and genealogy may not be known for your future pet. You understand that P+C cannot guarantee the health of these animals because of this.

Please list three personal references, aside from your veterinarian, that we have permission to call in regards to this potential adoption; we also ask that they not all be direct family members: (i.e. Lennard Stevenson 218-675-7297 Family friend)

By signing this Adoption Questionnaire, you verify that all information provided is truthful and accurate. Withholding or providing false information will result in denial of your adoption questionnaire.

Your Signature

*

Your Signature