First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Cell Phone*

Which animal are you interested in?*
Choose an animal: Belle Buck bonded with Pedro Darwin Denver Dolly Fizz Jenna Magpie Mama Quinn Pebbles Pedro bonded with Buck PET NOT YET POSTED Sandstone

If the pet is not yet listed, what is their name?

What is your date of birth?*

Who is your employer?*

How long have you worked there?*

Work phone number:*

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, please enter your landlord's name:

If you rent, please enter phone number for your landlord. *

If you rent, have you received the approval of your landlord to have an animal?
Choose one: Yes No

Is your yard fenced?*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

What type of fence do you have in your yard?
Choose one: Privacy Chain Link Invisible

What is the height of the fence?

Please list how many adults and children, along with their ages, reside in your household. *

Who in the household will care for the pet?*

Are any members of the household allergies to cats/dogs?*
Choose one: Yes No

Do you currently have any pets? If so, what type of pet and what is their age?*

What, if any, pets have you had over the last 5 years?*

Why are the above listed pets no longer with you? (death, ran away, gave away, sold, gave to shelter)

Are your current pets up-to-date on their vaccinations?

Are your pets altered (spayed/neutered)?

If they are not up to date or altered, why?*

Are any of your current pets being treated currently for any illness/diseases? Is so, what and length of treatment?*

Veterinarian's Name and Phone Number*

Will the animal be kept inside or outside*
Choose one: Inside Only Outside Only Inside and Outside

Where will the animal be kept when you are not home*

Where will the animal be kept when you are home*

List at least three reference with phone numbers that we can contact to talk about your pet history.*

How did you hear about us*

PJ’s Rescue makes every effort to adopt to you a dog in good health, but we are not a medical organization. I understand that PJ’s rescue makes no warranty as to the health and temperament of this dog. If a veterinarian finds any illness or defect in this dog, the owner is responsible for veterinary fees to treat this dog. PJ’s Rescue will not be held responsible for any vicious behavior or damage this dog may cause after adoption. Under no circumstances will PJ’s Rescue reimburse the owner for medical expenses incurred after adoption.

I agree that I am adopting the above-described dog/cat solely as a pet for myself and/or my immediate family. I agree that I will not sell, give away, or otherwise dispose of said animal to any person(s) or other entity for any reason without the prior approval of PJ’s Rescue. There will be NO refunds if the adoption doesn't work and I back out of this contract. If at a later date I am unable or unwilling to keep this dog/cat, I agree to contact PJ’s Rescue and make arrangements to discuss veterinarian care, training or rehoming options for your dog/cat.

I agree to the humane care of this dog/cat and to provide it with clean and appropriate shelter, food, water, exercise, companionship, and veterinary care. I agree to keep my dog/cat up to date on vaccinations to prevent disease, as well as, heartworm preventative as per my veterinarian’s recommendations. PJ’s Rescue does not adopt any dog/cat to individuals who intend to keep it as an outdoor only dog/cat.

I understand that PJ’s rescue places dogs as companion animals only. I agree that this dog shall never be used for medical research, dog fighting, or any purpose outside of being a companion animal. I will not give/sell/lease this dog to any other party who intends to use it as such. Legal action can and will be taken against any person falsely agreeing to this contract and not following through with its content.

I will abide by the local leash laws and keep this dog licensed as required by the town or city that I reside. I will keep ID tags on my dog at all times. I will keep PJ’s Rescue as a secondary contact for all microchipping information. I will immediately notify authorities if my dog becomes lost or stolen.

Link here to the pet licensing application for those in Duluth, MN city limits. 

Link here to the pet licensing application for those in Superior, WI city limits. 

I understand that PJ’s Rescue has the right to reclaim this dog if any of the above conditions are not met. PJ’s Rescue may make follow-up visits at a mutually convenient time to ascertain that the above conditions are satisfactorily met.

If the dog that I am adopting has completed the prison training program, understand that it may be a requirement for me to follow up and complete the additional free training through R&R training in Carlton, MN.

Permanent ownership of this dog/cat is contingent upon compliance with this Alter Agreement between PJ’s Rescue and the ‘Adopter’. In consideration of an adoption fee, PJ’s Rescue has temporarily transferred all rights, privileges, and responsibilities associated with the dog/cat described in the Adoption Agreement.

Due to current COVID related vetting delays, the Adopter acknowledges that as of the date of this Agreement, the dog/cat MAY NOT be spayed or neutered. If unaltered the Adopter will do their due diligence to keep the dog/cat away from other unaltered dogs to prevent future litters and to keep said dog/cat on leash. If you chose to alter the dog through your own veterinarian, the Adopter agrees to have the dog spayed or neutered within 90 days of adoption. PJ’s Rescue reserves all rights to revoke this timeline when vetting resumes normal timelines.

If the Adopter has chosen to go the route of having PJ’s Rescue provide the dog spay or neuter, the Adopter agrees to make all efforts to have the dog to Happy Tails Animal Hospital as scheduled. If the Adopter cannot make this appointment, they agree to communicate with PJ’s Rescue for their alternative direction. The Adopter agrees that if the dog misses their appointment, the Adopter will be responsible for the $150 no-show fee.

If the Adopter fails to provide timely proof of spay or neuter within the time set forth above, or fails to attend the scheduled alter appointment, this Agreement will be enforced and the appropriate legal authority will be notified. In addition, all rights and ownership of the dog/cat shall automatically terminate and transfer back to PJ’s Rescue, and PJ’s Rescue will immediately assume possession of the dog/cat. The Adopter shall pay all reasonable attorney’s fees incurred in attempts to repossess the dog/cat, as well as $150.00 in damages. If proof of spay/neuter is provided after the time limits set forth above, the deposit shall remain forfeited and the ownership of the dog/cat shall be determined on a case-by-case basis.

PJ’s Rescue may allow extensions of the time periods upon receipt of a certificate from a veterinarian licensed to practice veterinary medicine in the United States that certifies that the dog/cat has a medical condition which prevents him or her from being spayed/neutered, or that it would otherwise be detrimental to the health of the dog/cat to be spayed/neutered. In such a case, the dog/cat shall be spayed or neutered when the dog/cat is healthy enough, as certified by a veterinarian licensed to practice veterinary medicine in the United States. The dog/cat shall be spayed or neutered within ninety (90) business days of that certification, or the conditions set forth above will be enacted.

If spay/neuter is preformed through own vet, proof of (a spay/neuter certificate or receipt) must be sent in the form of a scan or photo to vetting@pjsrescue.com.

Link to adoption agreement for your records.

Link to alter contract for your records. 

I have read and fully understand the Adoption Agreement and Spay/Neuter Contract, as well as agree to be bound by both of their provisions. By typing my name below, I agree to be bound by this agreement and certify that the information entered on this applicant is true. Enter your name and date. *