Adoption Forms

Please answer the following short questions. Your Input will help us find the perfect match for you.
This is a preliminary Questionnaire and NOT a guarantee for approval.

An Adoption Contract will need to be completed and approved.

Name of adults living in household:

Contact Name:

Contact Email:

Address

City, State, Zip

Home Phone

Mobile Phone

Which pet, or type of pet are you interested in adopting? Name: (required)

Are you looking for a cat or a dog?
CatDog

Are you willing to have a home visit prior to adopting this pet?
YesNo

Number of children in your household:

What are their ages?

Number of adults in household:

How many pets do you have currently?

If none, when was the last time you had a pet family member?

Did the pet pass away?
YesNo

Was the pet given away?
YesNo

What species of pet are they?
DogCatHorseOther

Are your pets spayed or neutered?
YesNo

Are any of your pets on chains?
YesNo

If yes, why?

Where do your current pets live?
InsideOutside

Will this new pet be living inside the home or outside the home?
InsideOutside

Do you have a fenced in yard?
YesNo

Do you plan to fence your yard?
YesNo

If you adopt a cat do you agree NOT to declaw the adopted cat?
Yes I will NOT declawNo I WILL declaw

What is the name and phone number of your current or previous veterinarian?

Do you lead an active life style?
YesNo

Do you Exercise 1-3 days a week?
YesNo

Do you lead a sedentary life style?
YesNo

If yes, reason?

Do you agree to contact A TIME 4 PAWS and return the pet if you decide you can no longer care for this pet?
YesNo

Do you rent or own?
RentOwn

If you rent, what is the contact name and phone number of your landlord to seek rental approval

Are you aware the average lifespan of a dog is 13.2 years and a cat is 12-16 years?
YesNo

Do you use social media?
YesNo

If yes, would you be willing to Like and Review us on Facebook?
YesNo

*all fields are required.