Thank you for considering a rescued pet as an addition to your family. Please note that our application is brief, but is an important part of helping us match pets with families. We suggest that you have the following information available before you begin:
Our listed pets are located in the Greater New Orleans. Please note that we do NOT ship animals, and out-of-town adopters are only approved on a case-by-case basis and must provide transportation if approved.
~ Thanks! ~
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Work Phone x
Cell Phone*
Alt Email
If any required questions do not apply to your situation, please enter "N/A" as the answer.
Which dog or puppy are you interested in* Choose an animal: Aniwodi Armadillo aka Armie Destiny Remi Roo Skip Willa Jean Wishlist - Dog
Name of pet (if not listed above)
Employer/Occupation: *
Year of Birth. *
If under 21, please list the name and phone number of the person (over 21) that is agreeing to co-apply with you.
Please list the name of others living in home and their relationship to you. *
Are all of the members of your household agreeable to adopting a pet?*
What are the ages of the children or grandchildren that will be exposed to your pet*
Do you or anyone in your family have known allergies to any type of pet? If yes, please explain.*
Why are you interested in adopting a pet at this time*
How many continuous hours per day will your pet spend alone without human company?*
Where will your pet be kept when you are not home?*
PLEASE TELL US ABOUT YOUR CURRENT AND/OR PREVIOUS PETS (PAST 10 YRS).
Pet #1: Name - Breed - Age - What Happened to Pet*
Pet #2: Name - Breed - Age - What Happened to Pet
Pet #3: Name - Breed - Age - What Happened to Pet
Pet #4: Name - Breed - Age - What Happened to Pet
Additional Pets: Name - Breed - Age - What Happened to Pet
Were/are all of your pets spayed/neutered? If not, please explain.*
Do your current pets stay outside or inside?* Choose one: inside outside (more than 4 hours a day) doggy door N/A ( no current pets)
PLEASE TELL US ABOUT THE HOME AND YARD WHERE YOUR NEW PET WILL LIVE
What is the height AND type of your fence?*
If unfenced or if your fence will not keep a dog in your yard, how will you exercise and address potty issues?
Is there a pool on your owned/rented property? Is there a fence around the pool?
In what type of home do you live* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
Do you own or rent your home* Choose one: Rent Own
If you rent, have you received the approval of your landlord to have a pet and are you aware of restrictions or pet fees? (Check all that apply.)
Please provide Name and Number of Landlord. *REQUIRED IF YOU RENT*
TELL US ABOUT YOUR KNOWLEDGE/EXPERIENCE WITH HEARTWORM DISEASE. The answers to the next few questions assist us in helping new or current owners keep their pets safe, and are not used to determine approval of application.
How do dogs get heartworms? *
Do dogs who stay inside need to take heartworm preventative? Explain.*
Have you ever had a dog with with heartworms before? If yes, was the dog treated, and how? *
What brand of heartworm preventative do you/have you used? How often?*
What is the name and phone number of the veterinarian(s) that has cared for your current or past pet(s)?*
Which vet do you plan to use if you are a first-time pet owner?
If you are applying for a medium or long-haired dog, which groomer do you use or plan to use?
PLEASE TELL US WHAT YOU ARE LOOKING FOR IN A PET
What characteristics are you looking for in a dog? (Check all that apply.)
I would prefer a dog that: (Check all that apply)
Please explain the daily pet routine that you currently have or plan to have.*
TRAINING If you have questions about training, please note below, and we will provide resources / discuss with you.
What behavioral traits are not acceptable?*
If at any point the pet has these traits, how will you handle it?*
Would you consider formal obedience training either for bonding/enrichment purposes or to solve problematic behavior?*
OWNERSHIP RESPONSIBILITIES
What arrangements will you make for pet in the case of emergency or evacuation?*
What plans do you have for your pet if you should become unexpectedly ill and/or can no longer care for pet? (Is another family member or friend agreeable to assuming care for your pet?). Please explain.*
Are you aware that some pets can live 15-18 yrs and beyond, and do you agree to commit to a pet for the his/her lifetime?*
Please list any other information or comments you would like us to take into consideration when reviewing your application and considering your adoption request.
Please let us know the best time(s) to contact you and at which number(s).
Please let help us to serve our rescued pets better by letting us know how you heard about us. If found us through the internet, please let us know through which website you were linked to us (Petfinder, Pets911, Adopt-A-Dog, etc.)
**PLEASE READ CAREFULLY** Adopting a dog or a puppy is a serious responsibility. A dog that you adopt today will likely be a part of your family for the next 10 to 15 years, and perhaps more. A dog makes considerable demands on your time and resources. As a dog owner, you will need to spend time training, socializing, grooming, feeding, scooping poop, exercising and playing with your dog each day. Puppies and dogs that require further training need even more time and socialization. All dogs require regular medical care. Some dogs may eventually require special food or medications. Some dogs require regular professional grooming. Vet bills, pet sitting and vacation boarding fees may add considerable expense to your family budget.
By signing below, I certify that the information entered on this application is true and that knowingly falsifying information will result in the denial of said application. I also understand and agree that submitting this application places me under no obligation to adopt any animal from Pet Adoption Services, Inc, nor is Pet Adoption Services, Inc obligated to approve my application or adopt any animal to me, and that the applicant(s) and/or Pet Adoption Services, Inc may discontinue or withdraw from the application process at any time. I give my veterinarian permission to release any and all health records of my current and past pets. I agree that my landlord be contacted to confirm pet policy and residence. I agree that entering my name and date will serve as my signature.
Signature*
Date*
