PetPromise Adoption Application

Dog Cat
One Two More than two
Yes No

YOUR HOME

Own a house or detatched condominium unit
Own a condominium unit in a multi-unit building
Rent an apartment/condominium unit in a multi-unit building
Rent a house or detatched condominium unit
Live with parents
Live in college dormitory
Yes No Don't Know
Yes No

REFERENCES

Please provide the names and telephone numbers of THREE REFERENCES, including your veterinarian and, if applicable, your landlord or property manager. 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.

Due to the high volume of applications received, those without complete reference information as outlined above WILL NOT receive a response.

Veterinarian

Landlord/Property manager

Personal reference #1

Personal reference #2

CARE & RESPONSIBILITY

Are you prepared to make a commitment to care for this pet 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 pet if/when you move during the next 10-20 years?

Yes No Don't Know

Yes No Don't Know
1-3 hours
4-6 hours
7-8 hours
9-10 hours
More than 10 hours
Confined to certain rooms
Confined to one room
Confined to basement
In a crate
Outdoors
Other
Yes No

HISTORY OF PET OWNERSHIP

Are you prepared to make a commitment to care for this pet for the next 10-15 (in the case of a dog) or 18-20 years (in the case of a cat)?

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.

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