Pet Adoption Application
While pet ownership is very rewarding, it also is a financial and emotional responsibility. Once an adoption is finalized, you will be responsible for all health and behavior costs pertaining to the animal you choose. If the animal you choose is not altered, you must agree to provide spay or neuter surgery at the appropriate time. Our goal is to find good, RESPONSIBLE homes for our rescues - we expect you to provide love, a safe, healthy environment and routine veterinary care for the pet you have chosen. Failure to do so may result in your forfeiture of the animal. Pet Pals makes every reasonable effort to provide the proper care and medical attention for the rescued animals. We can assume no responsibility for behavioral or health problems that occur after the adoption is finalized. Adoption fees are our main source of income to help all our animals and are not refundable.
Name:

State:
Address Line 1:

Zip Code:
Address Line 2:

Phone:
City:

Email:
Employer Name
 		Personal Reference NOT related to you
Work Phone
 		Personal Reference Phone Number
Do you currently have any pets?
Yes  No		 If yes, please list all pets names, breed, age, sex and spay/neuter status:
Adoption Preferences
 Female   Male   Any


 

 What breed would you be most interested in adopting?

 
Age
 Baby Young Adult Senior Any
Briefly tell us why you want to adopt a pet:
Veterinarian's Name
Veterinarian's Phone
Do you Rent   or Own
Length of time at current address  
Would you agree to a home inspection before adoption?    Yes      No
Landlord's Name Landlord's Phone
List the ages of the adults in your home List the ages of the children in your home
This pet will be Indoor Outdoor Both  
FOR DOG ADOPTION ONLY
Where will the dog be when you are home during the day?
Where will the dog be when you are away during the day?
Where will the dog sleep at night?
How many hours per day would the dog spend alone?
If you had to move, what would you do with this dog?
What would you do with the dog if you could no longer care for it?
           

Pet Pals Northeast, Inc. PO Box 64, Plainfield, CT 06374-0064
PO Box 182, Ledyard, CT 06339
Telephone 860-546-1280      E-Mail petpalsnortheast@charter.net