Adoption Form

Are you 21 years of age or older?

Indicate the type of area you live in:
Please indicate which of the following best describes your home:
If you live in a mobile home, is it a privately owned property?
Please indicate if you rent or own your property:

Section 1: HISTORY OF YOUR PET(S)

1. What pets have you owned in the past five years?
Type of
Animal & Breed
Animal's
Name
Animal's
Age
Was the animal spayed/neutered? Do you still
own the animal?
2. If you no longer have any of the above pets, please explain what happened to them:

3a. Have you previously adopted an animal from a shelter?
3b. Have you taken an animal to a shelter?

4. Veterinary Information

(d) May we contact your vet?
(e) Are your pets listed under your name?

Section 2: FOR CAT ADOPTION—ALL ANSWERS MUST BE FILLED IN FOR CONSIDERATION

2. Cat will be:

3. Do you plan to declaw?

Section 3: FOR DOG ADOPTION—ALL ANSWERS MUST BE FILLED IN FOR CONSIDERATION

4. Do you have a completely fenced yard?

9. Where will this dog be kept during the day? at night?

Section 4: GENERAL QUESTIONS—ALL ANSWERS MUST BE FILLED IN FOR CONSIDERATION

Personal References - Please give 2
Name/Relationship Email Address

By signing/submitting this adoption application, I am accepting all risks associated with handling animals during the adoption process and release 2PawsUp from all liability.

I also further attest that the information given is true. I realize that giving false information may result in being denied.

I agree to release all veterinary records pertaining to any animals in my household. I realize that I must come to the animal’s foster home to visit this pet before approval, and that I will be required to pick up the pet at a later determined time and location.
Signature 1: Date:
Signature 2: Date: