Animal Adoption Application Form — USA PAW - Submit Adoption Application

USA PAW Animal Adoption Application Form — USA PAW Submit Adoption Application

Adoption Applications

Submit Adoption Application

Required fields are marked with

Full Legal Name:

Email:

I agree to the adoption rules.

Agree

Are you over the age of 21?

Street Address:

City / Town:

State:

Zip Code:

Telephone:

Your Occupation:

Employer Name:

Co-Adopter's Name:

Co-Adopter’s Occupation:

Co-Adopter's Employer:

Alternate Phone Number:

Number of adults in household, other than adopter(s):

Number of children in the household:

Ages of children in the household:

Does anyone in your household suffer from pet-related allergies?

Yes

If yes, list details:

Have you or any members of your immediate family been charged with cruelty to animals?

Yes

What pets do you have now? (For each, please list name, breed, gender, age, source of pet, and length of ownership.):

Are your current pets spayed and/or neutered?

Yes

Are your current pets up-to-date on vaccines?

Yes

Type of Housing:

Do you rent or own your home?

Rent

Own

If you rent, please supply your landlord’s name:

If you rent, please supply your landlord’s phone number:

How long have you lived at your current residence?

If less than two years, please supply your previous address:

Where will the animal be kept?

If other, please explain:

Do you have a fenced in yard?

Yes

If yes, height and type of fence:

Will this be primarily an indoor or an outdoor animal?

Indoor

Outdoor

What are your reasons for wanting to adopt?

Are you willing to have a home visit by an USA PAW representative?

Yes

Veterinarian’s name (vet or clinic who vaccinated current/previous pets) Please contact your veterinarian and advise them a USA PAW representative will be calling for a wellness history on your pet(s).

Veterinarian’s phone number:

Name or number of specific animal you are applying to adopt:

If above is NA, what type of animal are you interested in adopting?

If above is "Other" please list:

Do you have any additional comments or questions?
Message:

Where did you hear about USA PAW?

Attachments:

Uploading a clear picture of your state-issued photo ID or passport will speed application processing

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