Adopter's Legal Name
*
First Name
Last Name
Email Address
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Adopter's Birth Date
*
You must be 18 years of age or older to adopt from PAR.
MM
DD
YYYY
Cell Phone
*
(###)
###
####
Home or Work Phone
*
(###)
###
####
Household People
*
List all members of the household: full names, birth dates (NOT age), and relation to Adopter.
Does anyone in the household suffer from allergies?
*
(Select one)
Yes
No
What will you do if someone develops allergies?
*
Please do not say "this won't happen". Allergies can develop at any time. Imagine it happens, what will you do to help animal and humans live together?
Does everyone in the household agree to adopting a new pet?
*
(Select One)
Yes
No
N/A - It's just me
Select the option regarding your living arrangments:
*
(Select One)
I own my home
I am leasing-to-own my home
I rent a private home or apartment
I rent a managed apartment
I live with family
If you selected anything other than "I own my home", provide the legal owner or leasing offices' name, phone #, and email if you have it.
*
Enter "N/A" if you own your home.
Do you currently have any pets?
*
(Select One)
Yes
No
If yes, list their names, type, and age here.
*
Enter "N/A" if you do not have pets right now.
Have you had pets in the past 5 years that you do not currently have?
*
(Select One)
Yes
No
If yes, list their names, type, ages, and why you no longer have them:
*
Enter "N/A" if you have not had pets in the past 5 years that you no longer have.
Please select the most accurate response regarding your current pets:
*
(Select One)
All pets spayed/neutered and up-to-date on core vaccinations.
Some pets spayed/neutered and up-to-date on core vaccinations.
No pets spayed/neutered or up-to-date on core vaccinations.
N/A - No current pets
Have you read the entire bio for the pet(s) you are interested in?
*
(Select One)
Yes
No
If the pet you specified above becomes unavailable or is not a good match, would you be interested in recommendations from our adoption counselors?
*
(Select One)
Yes
No
Possibly
What questions do you have about the pet you are interested in adopting? This can be related to the care or needs of the pet, or adopting in general.
*
Describe the type of home environment this pet will be provided.
*
For example: whole house, one room, basement, etc. Please include where you might have the food, water, litter box(es), etc.
If you ever move, what will happen to this animal?
*
Please tell us your plan for what would happen to your pet(s) if you were no longer available to care for them:
*
Have you ever given away or surrendered a pet before?
*
(Select One)
Yes
No
If yes, please explain:
*
Enter "N/A" if you have never given away or surrendered a pet.
Will this adopted pet be kept indoors?
*
(Select One)
Yes - Indoors only
No - Will go outside
Do you agree to take this adopted pet to a vet for medical attention whenever needed?
*
(Select One)
Yes
No
What is your timeline for adoption?
*
(Select One)
As soon as possible!
Within the next 2 weeks
Withing the next month
No hurry
Have you submitted applications to other organizations?
*
(Select One)
Yes
No
If approved, do you agree to sign a legally binding adoption agreement?
*
(Select One)
Yes
No
If approved, do you agree to a 30-day check-up?
*
(Select One)
Yes
No
If approved and if applicable, do you agree to have this pet spayed/neutered with the time frame specified by the adoption agreement?
*
(Select One)
Yes
No
If approved, do you agree to never declaw or have a tendonectomy performed on this pet?
*
(Select One)
Yes
No
Do you understand that the adoptable animals rescued by PAR have come from situations where their history may not be known? While PAR does evaluate and vet every animal - the health, temperament, or behaviors of the adopted pet cannot be guaranteed.
*
(Select One)
Yes
No
Do you agree if you can no longer keep this animal you will return it to PAR?
*
(Select One)
Yes
No
Please type your initials to sign this application.
*
