This Application is intended to be a guide to help you think about all the ways that a new cat or dog will impact your life. All of the questions concern various aspects of pet ownership that should be given serious consideration before deciding to share your life with any dog or cat. This application is NOT meant to be a test which will be used to disqualify you from consideration.

PetPromise Adoption Application

Name Address City, State & Zip Phone Number Email address Number of persons in your household One Two Three or more. Children? Yes No If Yes, what are their ages? YOUR HOME Do you rent or own? Own Rent Does your lease or homeowner's association restrict pet ownership? Yes No Don't Know Is your yard fenced? Yes No REFERENCES Please provide the names and telephone numbers of three references INCLUDING: Your veterinarian and, if applicable, your landlord. Other references could include a friend, neighbor, employer, relative, etc. *After submitting this application, please contact your veterinarian to let them know that they may release your pet's medical history to a PetPromise Adoption Counselor. Name, Phone #, Relationship to Applicant CARE & RESPONSIBILITY Are you prepared to make a commitment to care for this dog/cat for the next 10-15 (in the case of a dog) or 18-20 years (in the case of a cat)? Yes No Don't Know Are you prepared to commit to find a home where you can keep this dog/cat if/when you move during the next 10-20 years? Please readMoving with a Pet . Yes No Don't Know Are you financially prepared to deal with the cost of both routine (vaccinations, annual examinations, dental cleanings, heartworm treatment, etc.) and non-routine/emergency veterinary care of this dog/cat? Please read . Yes No Don't Know Approximately how many hours a day will your new dog/cat be alone? Almost Never 1-3 hours 4-6 hours 7-8 hours 9-10 hours More than 10 hours Where will the dog/cat spend the day? Loose in the house Confined to certain rooms Confined to one room Confined to Basement In a crate Outdoors Other Where will your new dog/cat sleep? Who will have primary responsibility for the care of the dog/cat? If you are inquiring about a cat, do you intend to have him/her declawed? Yes No HISTORY OF PET OWNERSHIP What animals currently live in your household? (Please list type of animal, sex, age and how long you have owned them) Are these pets housed inside or outside? (please explain) What pets have you had in the past? (Please list type of animal, how long owned and what happened to the pet) Which pet would you like to adopt and why? How did you hear about PetPromise? i.e. Search Engine, Friend who fosters/adopted(please let us know who), Adoption Day (please let us know where)... All of the information that I have provided above is true and complete to the best of my knowledge. Should a dog or cat be placed with me, it will reside in my home as a pet. I agree to provide the dog or cat with adequate food, water, shelter, affection, and medical care. Signature of Applicant: Date of Application: How would you like us to contact you? Via E-Mail Call during the day Call during the evening Thank you for taking the time to complete this questionaire fully.   Home