adoption application · 12. who will be responsible for feeding, grooming, and generally caring for...
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THE PHILIPPINE ANIMAL REHABILITATION CENTER
ADOPTION APPLICATIONDATE OF APPLICATION ______________________________________In an effort to help the process go smoothly, please be as detailed as possible with your responses. Thank you!
PERSONAL INFOName: _____________________________________ Age: __________ FB/Twittter/IG: ___________________________
Address: _________________________________________________________________________________________
Phone: ___________________________________________ Email: _________________________________________
Occupation: _____________________________________ Status: Single Married Other _____________
Alternate Contact: ______________________________ Relationship: _________________ Phone: ________________*If the applicant is a minor, a parent or guardian must be the alternate contact and co-sign the application.
1. What prompted you to adopt from PAWS? Friends Website Social Media Other _____________
2. What are you looking to adopt? Cat Dog Other ____________________
3. Have you adopted from PAWS before? Yes No If yes, when? ________________________________
4. Do you know the name of the animal you want to adopt? You may list up to 3: _________________________________
5. Describe your ideal pet, including its sex, age, appearance, temperament, etc. ________________________________
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6. For whom are you adopting a pet? For myself For someone else (as a gift) 6. For whom are you adopting a pet? For myself For someone else (as a gift)
QUESTIONNAIRE7. Are there children (below 18) in the house? Yes No If yes, how old are they? ___________________
8. Do you have other pets? Yes No If yes, tell us about them: _________________________________
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9. Have you had pets in the past? Yes No If yes, tell us about them: ____________________________
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10. Who else do you live with? Spouse Parents Roommate(s) Other ______________________
111. Are any members of your household allergic to animals? Yes No If yes, how will it be managed?
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12. Who will be responsible for feeding, grooming, and generally caring for your pet? ___________________________
13. Who will be financially responsible for your pet’s needs (i.e. food, vet bills, etc.)? ____________________________
14. Who will look after your pet if you go on vacation or in case of emergency? _________________________________
15. How many hours in an average workday will your pet be left alone? ______________________________________
16. Does everyone in the family support your decision to adopt a pet? Please explain: __________________________16. Does everyone in the family support your decision to adopt a pet? Please explain: __________________________
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17. How will you introduce your new pet into your household? _____________________________________________
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18. What type of building do you live in? House Apartment Condo Other ____________________
19. Do you rent? Yes No If yes, how long have you lived there? ________________________________
20. What happens to your pet if or when you move? _______________________________________________________
21. If renting or living in a shared building, can you provide a copy of your building's pet policy? Yes* No *Please attach to your application
22. IF ADOPTING A DOG
a. Do you have a fenced yard? Yes No
b. How much time will your dog spend in the yard?
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c. Are you prepared to walk and potty train your dog?
Yes No Please explain: _________________
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d. Are you prepared to manage chewing, marking,
excessive barking, etc.? Yes No
Please explain: ________________________________
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23. IF ADOPTING A CAT
a. Can your cat get out of the house? Yes No
b. Where will the litterbox be located? ______________
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c. Are you prepared for the unpleasant odor of cat feces?
Yes No Please explain: _________________
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d. Are you prepared to manage furniture scratching,
climbing, shedding, etc.? Yes No
Please explain: ________________________________
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EVALUATOR’S NOTES1st interview 2nd interview
ADOPTION AGREEMENT(FILL IN ON THE DAY OF ADOPTION)
My adopted pet has been spayed/neutered and vaccinated.No guarantee of any kind can be given regarding the health of my adopted animal.My adopted pet may carry and transmit diseases that may be undetectable at the time of adoption.I am financially capable and responsible for providing my adopted pet's veterinary needs.I will inform PAWS of any situation that may affect the welfare of my adopted pet.PAWS may check on the well being of my adopted pet from time to time.Should I decide to give up my adopted pet, I am obliged to return him/her to Should I decide to give up my adopted pet, I am obliged to return him/her to PAWS.My adopted pet may exhibit potentially undesirable behaviors including, but not limited to, aggression, soiling, biting, scratching, barking, digging, mounting, and urine marking.I shall assume responsibility of preventing any damage or injury resulting from these undesirable behaviors.PAWS is not liable for any property damage or personal injury suffered by myself, members of my household or any third party that may arise from this adoption.Non-compliance with any part of this agreement shall give Non-compliance with any part of this agreement shall give PAWS the right to take back the animal, without need of any judicial action, without any need of my prior approval or that of my duly authorized representative.
I, the undersigned adopting party, agree to take care of the animal described in this document, with the utmost diligence of a good and responsible pet guardian.
______________________________/___________Signature over printed name Date
_____________________________________________Applicant’s signature over printed name
______________________________________________Parent’s signature over printed name (for minor applicant)